Edited by Drummond Rennie, MD, Senior Contributing Editor; Sharon Iverson, Assistant Editor.
To the Editor.— I read, with interest and appreciation, the article entitled "Early Repair of Mechanical Complications After Acute Myocardial Infarction" by Nishimura et al.1 The authors' emphasis on the need for aggressive medical and surgical management is appropriate, as I have had a similar experience at my institution.
Report of a Case.— I recently encountered a 69-year-old man with acute pulmonary edema and cardiogenic shock during an inferior myocardial infarction, in whom only a grade 2/6 systolic murmur was heard at the lower left sternal border. I delayed in the diagnosis of acute severe mitral regurgitation because of the absence of a v wave on his pulmonary artery occlusive tracing. During the subsequent catheterization of the left side of the heart, 4+ mitral regurgitation was found using a pigtail catheter in good position in the left ventricle. The left ventricular function on the left ventricular angiogram was surprisingly
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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