HENRY A. CHRISTIAN, M.D., F.A.C.P.
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In an adult clinic more patients with cardiac disease without valve lesions are seen than those with valve lesions. Rheumatic fever is the largest cause of valvular disease, and this is chiefly a disease of childhood and early adult life. In children's clinics, apart from congenital heart disease, other than rheumatic valvular disease of the heart is unusual. The majority of patients with rheumatic heart disease die within a twenty year period of the inception of their heart lesion, and they have had the causative rheumatic fever in childhood. The result is a rapidly falling curve of incidence of rheumatic
CHRISTIAN HA. Chronic Nonvalvular Cardiac Disease or Chronic Myocardial Insufficiency and Its Therapeutic Management*. Ann Intern Med. 1931;5:95–99. doi: https://doi.org/10.7326/0003-4819-5-2-95
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Published: Ann Intern Med. 1931;5(2):95-99.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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