The Clinical Determination of Mitral Insufficiency when Associated with Mitral Stenosis

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Abstract
A review of 200 consecutive operated cases of pure mitral stenosis and 47 consecutive operated cases of mitral stenosis with an associated mitral insufficiency indicates that careful evaluation of the history, auscultatory findings, electrocardiogram and fluoroscopy permits a correct diagnosis of associated insufficiency in a majority of instances. History and auscultation remain the internists' most valuable tools despite a large array of as yet incompletely evaluated mechanical measures.