Quadrivalvular rheumatoid heart disease associated with left bundle branch block

Deborah F. Carpenter, Abner Golden, William C. Roberts

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


The clinical and necropsy findings are described in a sixty-five year old woman with rheumatoid arthritis and rheumatoid nodules in the heart, lungs, joints and subcutaneous tissue. Signs of aortic and mitral regurgitation, congestive cardiac failure and left bundle branch block were observed clinically and necropsy revealed numerous rheumatoid nodules in all four cardiac valves as well as in the adjacent myocardium and in the pericardium. The extensive nature of the cardiac involvement by rheumatoid granulomas is the most unusual aspect of this patient's illness.

Original languageEnglish (US)
Pages (from-to)922-929
Number of pages8
JournalThe American Journal of Medicine
Issue number6
StatePublished - Dec 1967

Bibliographical note

Funding Information:
ton, D. C. Manuscript received November 10 1966. t Present address: Pathologic Anatomy Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.


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