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1 Department of Medicine, Georgetown University School of Medicine, Division of Cardiology, Georgetown University Hospital, Washington, DC; Section of Pathology, National Heart and Lung Institute, National Institutes of Heatlh, Bethesda, Maryland
Clinical, hemodynamic and anatomic findings are described in a 71-year-old man with "silent" acute myocardial infarction. Hemodynamic evidence of mitral regurgitation resulting from papillary muscle necrosis was obtained both before and after the appearance of the murmur of mitral regurgitation.
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