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Previous Volume 343:298-300 July 27, 2000 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their study of fulminant myocarditis as compared with acute (nonfulminant) myocarditis, McCarthy et al. (March 9 issue)¹ included all patients in whom the diagnosis was established by endomyocardial biopsy and who met their selection criteria. However, by not incorporating diagnoses established at autopsy, the authors introduced a selection bias in favor of a better outcome of fulminant myocarditis. Excluding cases with a rapidly fatal onset essentially reduces the study to a comparison of patients with acute myocarditis and early survivors of fulminant myocarditis.

In several autopsy series,^2,3,4 fulminant myocarditis was found to be a prominent cause . . . [Full Text of this Article]

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