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Article
May 5, 1956

SALIENT POINTS IN THE CLINICAL DIAGNOSIS OF CONGENITAL HEART DISEASEBASED ON A NINE-YEAR STUDY OF 1,395 PATIENTS

JAMA. 1956;161(1):39-44. doi:10.1001/jama.1956.02970010041012
Abstract

• Congenital malformations of the heart have been studied in 1,395 patients, and in 300 of these the diagnoses have been established at autopsy. In the vast majority, a clinical diagnosis can be made without angiocardiography and without cardiac catheterization. The largest group of malformations consisted of 287 cases of ventricular septal defects. A small number of bizarre cases remain undiagnosed, even with the help of additional physiological tests. All that is usually necessary in order to arrive at a clinical diagnosis is correlation of the anamnestic, physical, fluoroscopic, roentgenographic, and electrocardiographic findings. This fact is illustrated by detailed clinical consideration of the cyanotic and noncyanotic groups of cases.

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