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Correspondence
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Volume 332:1302-1304 May 11, 1995 Number 19
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Nifedipine in Severe Aortic Regurgitation

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 by Scognamiglio, R.
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To the Editor: It is unfortunate that Scognamiglio et al. (Sept. 15 issue)1 chose to use digoxin instead of placebo to study the effects of nifedipine in asymptomatic patients with chronic, severe aortic regurgitation. Almost two decades since the short-term beneficial effects of vasodilator therapy in severe aortic regurgitation were first reported,2 clinicians still await proof that vasodilator therapy reduces or delays the need for aortic-valve replacement in asymptomatic patients with severe, chronic aortic regurgitation. Although some authors3,4 have promoted the routine use of vasodilators to delay the need for valve replacement in these patients, an informal survey we made . . . [Full Text of this Article]

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