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   ocr: CLASSI CLASS IV Ar normal healthy patient with no organic, physiologic, biochemical, or A patient with an incapacitating systemic disease that is a constant psychiatric disturbance. The abnormal process for which operation is threattolifeandnot: always correctable by operation(L.e. patientswith tobe pefomedslealuedamddes not entail as systemic disturbance organic heart disease showing marked signs of cardiac insulliciency, (ie., a fit patient with inguinal hernia or a fibroid uterus in an other- persistent anginal syndrome, or active myocarditis; and advanced de- wise healthy woman). grees of ...