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(Chest. 1958;34:525-536.)
© 1958 American College of Chest Physicians

The Value of Left Heart Catheterization in Patients with Rheumatic Mitral Valve Disease

JOSEPH F. URICCHIO M.D., F.C.C.P.1; LAMBERTO BENTIVOGLIO M.D.2; JANET DICKENS M.D.3; and HARRY GOLDBERG M.D., F.C.C.P.4

1 Assistant Professor of Medicine, Hahnemann Medical College and Hospital, and Cardiologist, Bailey Clinic, Philadelphia, Pa.
2 Research Associate, Brith Sholom Cardiopulmonary Laboratory, Hahnemann Medical College and Hospital, Philadelphia, Pa.
3 Assistant Director, Brith Sholom Cardiopulmonary Laboratory Hahnemann Medical College and Hospital, Philadelphia, Pa.
4 Assistant Professor of Medicine, Hahnemann Medical College and Hospital; Director, Brith Sholom Cardiopulmonary Laboratory, Hahnemann Medical College and Hospital; and Cardiologist, Bailey Clinic, Philadelphia, Pa.

1. The value of left heart catheterization in patients with rheumatic mitral valve disease is documented.

2. Case histories are presented in which therapeutic and diagnostic problems were resolved by the attainment of the ventricular filling gradient across the mitral valve.

3. Left heart catheterization is chiefly of value in patients with rheumatic heart disease in whom marked discrepancies exist between the objective and subjective clinical picture.

4. Left heart catheterization also is helpful in evaluating the results of cardiac surgery and analyzing the progression of the rheumatic process following mitral commissurotomy.






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Copyright © 1958 by the American College of Chest Physicians.