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Previous Volume 351:1681-1684 October 14, 2004 Number 16 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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Recollections of early medical training conjure up images of the master clinician standing beside the exercising patient, keenly observing the effects of disease. Exercise stress testing is a cornerstone of the evaluation of dynamic coronary insufficiency, providing diagnosis and prognosis. Valvular heart disease, in contrast, has been considered relatively static and has been managed largely on the basis of resting evaluation. Current clinical guidelines indicate that there is conflicting evidence regarding exercise testing in valvular disease and that no efficacy has been established; advocates suggest exploring the dynamics of the ventricle, not the valve.

Ischemic mitral regurgitation consequent to myocardial . . . [Full Text of this Article]

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From the Division of Cardiology, Massachusetts General Hospital, Boston.

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