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(Chest. 1972;62:746-747.)
© 1972 American College of Chest Physicians

Remission of Symptoms in Mitral Stenosis Due to Complete Heart Block

Brian M. Kennelly Ph.D.1; Dudley W. Burton M.B., Ch.B.1; and Velva Schrire M.D.1

1 Cardio Pulmonary Unit, Groote Schuur Hospital and Department of Medicine, University of Cape Town, Cape Town, South Africa

A patient with severe mitral stenosis, after many years of severe disability due to heart failure, noted spontaneous improvement in symptoms. He subsequently developed Stokes-Adams attacks and was found to have complete heart block. He underwent cardiac catheterization and subsequently had a mitral valve replacement and permanent pacemaker implantation. Hemodynamic studies at the time of catheterization supported the clinical impression that his slow ventricular rate was beneficial in the presence of his severe mitral stenosis.







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Copyright © 1972 by the American College of Chest Physicians.