It is common knowledge that rheumatic heart disease is sometimes found after middle age and that it does not necessarily limit life to three score and ten, but survival beyond 80 years is so unfamiliar as to demand a special note. We are herein reporting, first, the striking case of Dr. Herman F. Vickery, who not only reached his eighty-fourth year with a moderate degree of mitral stenosis but also lived his long life actively and without cardiac symptoms except for angina pectoris at the end of his life, and, second, 3 other cases of proved mitral stenosis in Boston with survival beyond the age of 80.
Coombs1 in 1924 reported that the oldest of a series of 281 patients with established rheumatic heart disease was 70. In Grant's2 series of 1,000 men suffering from heart disease the oldest patient with mitral stenosis was 59. In 1926 Cabot
WHITE PD, BLAND EF. MITRAL STENOSIS AFTER EIGHTY: WITH ESPECIAL REFERENCE TO DR. HERMAN F. VICKERY. JAMA. 1941;116(18):2001–2004. doi:10.1001/jama.1941.02820180007002
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