GEORGE NIKOLIC, M.B., B.S.
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To the editor: Perhaps I may be able to help Dr. Perry (1) with the following points on the Lev and Lenègre "syndromes." Jean Lenègre, of the Hôpital Boucicaut in Paris, described progressive fibrosis of the ventricular conduction system in a series of articles published in French in the 1950s; his first and major reference in English appeared in 1964 (2).
Maurice Lev, of the University of Miami, saw a similar sclerodegenerative process, often with calcification, in an older age group (3). Both processes are manifested as fascicular conduction defects shown in the electrocardiogram, somewhat more rapidly progressing toward complete
NIKOLIC G. Lev and Lenègre Diseases. Ann Intern Med. ;98:414. doi: 10.7326/0003-4819-98-3-414_1
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Published: Ann Intern Med. 1983;98(3):414.
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