CHARLES R. PETERSON, M.D.; RODNEY HERR, M.D.; RICHARD V. CRISERA, M.D.; ALBERT STARR, M.D.; J. DAVID BRISTOW, M.D.; HERBERT E. GRISWOLD, M.D.
Although most patients who have prosthetic replacement of diseased heart valves have significant symptomatic improvement after surgery, it has become apparent that a small percentage either becomes worse or fails to improve. Awareness of the causes of a poor surgical result and objective evidence that there has not been improvement can be helpful in correct diagnosis and management. The objective distinction between a good and poor surgical result may be difficult, however, because patients considered to have satisfactory relief of symptoms do not necessarily improve to a normal state as defined by the usual clinical or hemodynamic criteria. In addition,
PETERSON CR, HERR R, CRISERA RV, STARR A, BRISTOW JD, GRISWOLD HE. The Failure of Hemodynamic Improvement After Valve Replacement Surgery: Etiology, Diagnosis, and Treatment. Ann Intern Med. ;66:1–24. doi: 10.7326/0003-4819-66-1-1
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Published: Ann Intern Med. 1967;66(1):1-24.
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