RICHARD K. MAUTNER, M.D.; MOOIDEEN MEERAN, M.D., M.R.C.P., F.C.P. (SA)
To the editor: The recent article by Dhingra and associates (1) postulates that the cause for syncope and sudden death in patients with aortic stenosis could be related to conduction disease. This statement adds confusion to the already difficult subject of managing patients with chronic conduction disease, as the natural history of this disease is just beginning to be known. These authors have documented a high prevalence of latent and manifest conduction-system disease (trifascicular disease) in their series. Besides aortic stenosis, conduction disease is known to occur in pure aortic regurgitation, where one third of the patients are reported to
MAUTNER RK, MEERAN M. Conduction Disease with Aortic Stenosis. Ann Intern Med. ;88:133–134. doi: 10.7326/0003-4819-88-1-133_2
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Published: Ann Intern Med. 1978;88(1):133-134.
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