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Management of polycythaemia in adults with cyanotic congenital heart disease
  1. L SWAN,
  2. W S HILLIS
  1. Department of Medicine and Therapeutics
  2. University of Glasgow, Western Infirmary
  3. Glasgow G11 6NT, UK

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    Editor,—I welcome Thorne’s editorial1 reiterating the pitfalls of overzealous venesection in adults with cyanotic congenital heart disease. As she states there is now a body of opinion highlighting the detrimental effects of inappropriate venesection. The evidence these conclusions are based on, however, is sparse and retrospective. This will unfortunately be a feature of a relatively new field such as adult congenital disease practice until multicentred collaboration and prospective studies are …

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