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January 27, 1951

Non-Valvular Heart Disease

JAMA. 1951;145(4):272. doi:10.1001/jama.1951.02920220080039

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Since the term nonvalvular heart disease is not generally used, Dr. Christian has defined it as "that form of heart disease in which myocardial insufficiency with or without myocarditis has developed in the absence of lesions of heart valves or pericardium." The book is divided into two parts, the first dealing with the diagnosis, prognosis and treatment of the various types of acute, subacute and chronic myocarditis and the second dealing with other types of nonvalvular heart disease, including hypertensive heart disease. In this section there is a fairly comprehensive discussion of the treatment of congestive heart failure, including salt restriction and the use of digitalis and the diuretics. However, there is no discussion of the diagnosis, treatment or prognosis of myocardial infarction or even, for that matter, of coronary artery insufficiency. These important conditions should come within the scope of nonvalvular heart disease as defined by the author. There

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