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The incidence of chronic cor pulmonale in Indian states, including Delhi, is the highest reported in nonindustrial populations. The patients presented as acute severe congestive heart failure and at younger ages than those reported. In amany eases there was only a short history of respiratory symptoms. Following the first attack of failure, repeated attacks were the rule and death ensued within 2 years. A study is presented of 127 patients of this type in Delhi with clinical and laboratory data and autopsy data of 4 cases. The probable causes of these peculiar features are discussed.

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