Discrepancies between Subjective and Objective Responses to Mitral Commissurotomy

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Abstract
THE importance of critical and objective evaluation of any new therapy is well recognized by the medical profession. The need for applying this principle to the appraisal of mitral commissurotomy has been emphatically indicated by Soloff and Zatuchni,1 who have been impressed by the morbidity and mortality resulting from this form of treatment. Their findings are contrary to the enthusiastic reports of surgeons that are based on subjective evaluation of their patients.Objective evaluation of surgical therapy is difficult because of variations in the natural history of rheumatic heart disease as influenced by respiratory infections, arrhythmias, thromboembolism or recurrences of . . .