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Correction to Carabello and Crawford, N Engl J Med 337(1):32-41 July 3, 1997.

Correspondence
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Volume 337:1474-1475 November 13, 1997 Number 20
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Valvular Heart Disease

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 by Carabello, B. A.
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 by Carabello, B. A.
To the Editor: The review article by Drs. Carabello and Crawford (July 3 issue)1 included useful insights into the pathophysiology and care of patients with valvular heart disease. Mitral regurgitation is a very common valvular lesion and is often associated with left ventricular dysfunction. Unfortunately, the underlying cause is often coronary heart disease. The treatment of this important group of patients remains a major clinical problem. Can the authors comment further about these patients?

Careful follow-up shows that patients with valvular heart disease are often in a border zone, with symptoms that cannot be confidently attributed to their valvular lesions. . . . [Full Text of this Article]

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