Dr. Hamilton Replies
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By choosing to study an unselected group of ambulatory patients, we have,as Dr. Steier et al. suggest, a preponderance of mildlv affected patients. We agree that the findings may differ in very young, very severely affected patients, and we are presently assessing this group. No doubt there are individual patients with serious congenital heart disease who are not eating adequately and not growing adequately. We did take eyanosis and cardiac enlargement as measured by
1999 ◽
Vol 16
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pp. S86-S88
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