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PROSTATIC SURGERY AND HEART DISEASE

HERMAN L. KRETSCHMER, M.D.; STUYVESANT BUTLER, M.D.
JAMA. 1948;136(7):441-444. doi:10.1001/jama.1948.02890240007003.
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Patients with prostatic obstruction, either benign or malignant, fall into an age group in which degenerative diseases of the cardiovascular system are of frequent occurrence. In many of these cases the problem of operability is of vital and immediate importance to both the surgeon and the patient.

The presence of cardiovascular disease immediately raises two questions: 1. The urologist is concerned with the nature and extent of the cardiac lesion and the amount and type of the treatment required to make the patient a safe or a reasonably safe operative risk. 2. Many of the patients who have known cardiovascular disease are vitally interested as to whether or not they can be operated on successfully and what amount of risk they assume.

With these questions in mind we have undertaken a study of 314 consecutive patients with a view of determining the incidence, type and severity of cardiovascular lesions and

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