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Observations on Some Cardiac Lesions Coincident with Pulmonary Tuberculosis.

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By Bronfin I. D., Simon Saling.  (Amer. Rev. of Tuberculosis. , December, 1928.).

Ann Intern Med. 1929;2(8):833. doi:10.7326/0003-4819-2-8-833_1
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The coincidence of valvular heart disease and pulmonary tuberculosis is not as rare a condition as is generally supposed. Dyspnea out of proportion to the pulmonary involvement, especially when there are no constitutional symptoms, should arouse the suspicion of an existing cardiac affection. The absence of murmurs does not exclude the possibility of grave valvular affections. According to Broadbent a murmur is rarely heard in the third stage of mitral stenosis. It is of particular importance to the phthisiologist to remember that digestive disturbances, pressure pain in the epigastrium, gaseous eructations followed by temporary relief from the epigastric distress, paroxysmal


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