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RHEUMATIC HEART DISEASE IN AUTOPSIED CASES OF RHEUMATOID ARTHRITIS: (Abstract)

THEODORE B. BAYLES, M.D.
Ann Intern Med. 1943;19(1):113-114. doi:10.7326/0003-4819-19-1-113
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Of 23 autopsied cases of rheumatoid arthritis six were found to have changes in both the heart valve leaflets and the myocardium similar to those that usually follow rheumatic fever. The histologic lesions of one of these six could possibly be considered active and five were inactive in character. Excluding one patient because of definite rheumatic fever and rheumatic heart disease in childhood, 22 per cent had rheumatic cardiac lesions. The factors of accentuation on cardiac death, the relatively large group with cardiac changes antemortem as compared to control groups, and the small number of cases (possibly one) with active

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