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Ac disease have previously been documented. The purpose of this study was to determine the presentation, etiology, and hospital outcome differences between african-american patients and white patients with regard to surgically corrected mitral valve disease. Methods: all 1,425 adult patients who underwent first time, isolated mitral valvuloplasty or mitral valve replacement by the same group of surgeons at new york university medical center and bellevue hospital center between 1993 and 2003 were studied. viagra for sale Results: african americans (n = 123, 8. cheap viagra 6%) were significantly younger (45. viagra for sale 6 +/- 14. 4 versus 60. viagra salesman jamie ready 5 +/- 15. Cheap genuine viagra online 3 years) and had significantly higher incidences of diabetes mellitus, renal failure, congestive heart failure, endocarditis, and rheumatic mitral disease; whereas whites (n = 1,302, 91. viagra over the counter countries 4%) more commonly had degenerative mitral disease. viagra 20 or 10 African americans were less likely to undergo mitral valvuloplasty. cheap generic viagra There were no significant differences in the incidences of postoperative complications or hospital mortality (2. buy cheap viagra 4% african american versus 5. Viagra over the counter spain 1% white, p = 0. viagra 100mg price 19). Conclusions: african americans present for mitral valve surgery at a significantly younger age than whites and with higher incidences of many risk factors. Whether presentation at a significantly earlier age in african americans is a result of failures in primary care or an enhanced susceptibility to the process of mitral disease and comorbidities remains to be determined. viagra for sale African americans were less likely to undergo mitral valvuloplasty, which may have an effect on long-term outcome. Improved screening in this racial group will facilitate earlier referral, increasing the potential for mitral valvuloplasty. cheap pills viagra Comment in invited commentary. buy viagra [ann thorac surg. 2008] invited commentary. viagra 100mg price Bridges cr. generic viagra Ann thorac surg. viagra lasts how long 2008 jan; 85(1):93. viagra substitute over the counter australia Pmid: 18154787 [pubmed - indexed for medline] publication types, mesh terms publication types comparative study mesh terms adult african americans/statistics & numerical data* age distribution aged chi-square distribution european continental ancestry group/statistics & numerical data* female follow-up studies heart valve prosthesis/statistics & numerical data* heart valve prosthesis implantation/methods heart valve prosthesis implantation/mortality humans incidence logistic models male middle aged mitral valve insufficiency/diagnosis mitral valve insufficiency/ethnology* mitral valve insufficiency/mortality mitral valve insufficiency/surgery mitral valve stenosis/diagnosis mitral valve stenosis/ethnology* mitral valve stenosis/mortality mitral valve stenosis/surgery postoperative complications/diagnosis postoperative complications/epidemiology probability prospective studies registries reoperation/trends risk factors sex distribution survival rate treatment outcome li. cheap viagra Venta viagra generico mexico

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