Talbot S
Thorax. 1973 Sep;28(5):622-6. doi: 10.1136/thx.28.5.622.
, , 622-626. . A study of deaths due to valve disease in the community and in hospital showed that aortic valve disease was a more common cause of sudden death than was mitral valve disease. Mitral valve disease was a frequent cause of death in the elderly, but all valve lesions in the elderly were found more often in the community than in the hospital series; these were often (66%) undiagnosed prior to death, particularly in men. Evidence of combined aortic and mitral valve disease was less often overlooked. Systemic embolism was an important factor influencing admission to hospital and was often the presenting feature. The absence of physical findings was probably not responsible for the poor diagnostic rate in the community series. Auscultation of the heart in asymptomatic men and women over the age of 40 years must become widespread before there will be an improvement in mortality and morbidity of these conditions.
，，622 - 626。一项关于社区和医院中瓣膜病致死情况的研究表明，主动脉瓣疾病是比二尖瓣疾病更常见的猝死原因。二尖瓣疾病是老年人常见的死因，但老年人中的所有瓣膜病变在社区系列中比在医院系列中更常见；这些病变在死亡前常常（66%）未被诊断出来，尤其是在男性中。主动脉瓣和二尖瓣联合疾病的证据较少被忽视。系统性栓塞是影响住院的一个重要因素，且常常是首要表现。在社区系列中诊断率低可能并非由于缺乏体格检查结果。在40岁以上无症状男性和女性中广泛开展心脏听诊，这些疾病的死亡率和发病率才会有所改善。
