A well-taken history provides the cardiologist not only with the initial step toward diagnosis but also with an assessment of disability. These are the prerequisites for successful patient management. Taking a good history is akin to a cross-examination and is a difficult technique, acquired by experience, patience, and skill. Additionally, a certain amount of tolerance is necessary. Giving a good qualitative and temporal account of symptoms is not always easy, even for the educated and sophisticated. All too often patients are labeled “poor historians” or “poor witnesses” when they provide an inadequate or garbled account of their illness. Yet, how often do we hear brief histories and concise case descriptions from our medical colleagues?
KeywordsInfective Endocarditis Mitral Stenosis Rheumatic Heart Disease Constrictive Pericarditis Acute Rheumatic Fever
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