Abstract
T HE combination of rheumatic and arteriosclerotic heart disease is not frequently encountered in hospital admissions. The reason is self-evident; rheumatic heart disease is an affliction of the young, and the vast majority fail to survive the age of 45 years. DeGraff and Linggl stated: “To see even the terminal stages of this disease (rheumatic heart disease) after the age of 50 is not a common experience.” One observes considerable resistance to the diagnosis of this dual etiology on the part of some clinicians, as if it were a fact that rheumatic heart disease precludes the arteriosclerotic changes which are common after the age of 40 years. ORSERVATIONS
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