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Article
July 1943

TRICUSPID STENOSIS: INCIDENCE AND DIAGNOSIS

Author Affiliations

CLEVELAND

From the Department of Medicine of the Cleveland City Hospital and the Western Reserve University School of Medicine.

Arch Intern Med (Chic). 1943;72(1):104-107. doi:10.1001/archinte.1943.00210070112010
Abstract

Data concerning the incidence of tricuspid stenosis recently have been compiled by Cooke and White.1 This indicates that the tradition of the rarity of tricuspid stenosis may be partly due to numerous compilations of isolated case reports and to discrepancies dependent on variations in defining stenosis. These investigators found that between 1920 and 1937 there were 217 cases of rheumatic heart disease noted in 4,300 autopsies at the Massachusetts General Hospital. In 47 of these the tricuspid valve was affected, and in 30 there was tricuspid stenosis thought to be of sufficient degree to be of clinical significance.

In these 30 cases of Cooke and White1 the diagnosis was made before death in 1 and suspected in 2 more. Their conclusion was that the diagnosis of tricuspid disease is difficult, but that if due attention were paid to the history and the clinical examination of the patient and

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