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Therapgents Agents in Rheumatic CarditisComparative Effects of Acetylsalicylic Acid, Corticotropin, and Cortisone
CAPT. BERTRAND L. STOLZER, MC;
MAJOR HAROLD B. HOUSER, MC;
CAPT. ERNEST J. CLARK, MC
AMA Arch Intern Med. 1955;95(5):677-688.
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Although the symptoms of acute rheumatic fever appear to be favorably altered by a number of drugs,* the essential problems of therapy are to prevent death from acute carditis and to decrease the incidence of subsequent valvular heart disease.4 The present report compares the effect of acetylsalicylic acid (Aspirin), cortisone, and corticotropin (ACTH) on valvular heart disease as evidenced by the presence of murmurs 14 months after the onset of therapy. A previous paper 5 concerning the same group of patients dealt with a comparison of the effects of these drugs on the acute course of rheumatic fever.
METHODS
Details of the methods employed and the population involved have been described elsewhere.5 All male airmen admitted to Warren Air Force Base Hospital who met the standard diagnostic criteria and who exhibited signs of rheumatic activity on the day treatment began were accepted for study. Each patient was assigned
. . . [Full Text PDF of this Article]
Author Affiliations
U. S. A. F.; A. U. S.; U. S. A. F.
From the Streptococcal Disease Laboratory and the Medical Service, U. S. A. F. Hospital, Francis E. Warren Air Force Base, Wyoming, and the Department of Preventive Medicine, School of Medicine, Western Reserve University, Cleveland; present addresses: 423 Jenkins Building, Pittsburgh (Capt. Stolzer), and Department of Medicine, State College of Medicine, Upstate Medical Center, Syracuse, N. Y. (Major Houser).
Footnotes
This investigation was conducted under the sponsorship of the Commission on Acute Respiratory Diseases and the Commission on Streptococcal Diseases, Armed Forces Epidemiological Board, and was supported by the Offices of The Surgeon General, Departments of the Army and Air Force, Washington, D. C.
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