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Correspondence
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Volume 348:2359-2361 June 5, 2003 Number 23
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Carcinoid Heart Disease

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 by Møller, J. E.
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To the Editor: Møller et al. (March 13 issue)1 addressed the topic of the progression of carcinoid heart disease. Serial echocardiographic studies were available for 71 of the 273 referred patients. The median level of urinary 5-hydroxyindoleacetic acid (5-HIAA) excretion at base line in patients with carcinoid heart disease was 209 mg per 24 hours, and in those without carcinoid heart disease it was 110 mg per 24 hours; the median duration of the syndrome was relatively short, at 1.0 and 1.8 years, respectively. Remarkably, data on 5-HIAA levels during the course of this disease are scarce. We therefore studied . . . [Full Text of this Article]


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