THE EFFECT OF A BETA-ANDRENERGIC-BLOCKING AGENT (NETHALIDE) AND NITROGLYCERIN ON EXERCISE TOLERANCE IN ANGINA PECTORIS.
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Biomedical subjects
Publications and source records attributed to A A KATTUS.
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At the hospital of the University of California, Los Angeles, patients with acquired aortic valvular disease have been treated in the past by debridement of the obstructing calcifications or partial replacement of the valve with prosthetic cusps or a combination of these techniques. In a long-term evaluation of these patients, such methods were shown to be inadequate in most instances. We now recommend total valve replacement with the Starr-Edwards prosthetic valve in all patients with calcific aortic stenosis and for those with aortic insufficiency due to irreparable valvular lesions. The selection of patients, the operative technique, and the results thus far in nine patients are presented.
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Coronary cineangiography was helpful in the following circumstances:1. A patient with an abnormal electrocardiogram and no evidence of coronary artery disease.2. A patient with thoracic pain in whom the diagnosis of coronary artery disease was questioned.3. A patient with intractable angina pectoris who was being studied for possible surgical therapy.4. A patient with coronary insufficiency and aortic stenosis who was being evaluated for operation on the aortic valve.
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