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Correspondence
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Volume 340:1511-1512 May 13, 1999 Number 19
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Chronic Heart Failure and the Quality of Life

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 by Stevenson, L. W.
To the Editor: Stevenson, in her editorial in response to the article by Cohn et al. (Dec. 17 issue),1,2 writes tellingly regarding the problems of and prospects for patients with advanced congestive heart failure who are foundering despite the best pharmaceutical and systematized care and who are not candidates for transplantation or mechanical circulatory assistance.

It is perhaps not surprising that advanced heart failure has been termed "heart cancer" because of the inexorable and uncomfortable course patients follow, with their condition refractory to conventional and experimental therapy. The analogy to advanced cancer may also provide guidance on how we might . . . [Full Text of this Article]

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