output has been found to increase proportionally with the extent of
Paget's disease. This is a consequence of the increased vascularity
of bone and of the overlying muscle and skin. Arteriovenous shunts
have not been demonstrated. Congestive heart failure is a rare complication.
There is also a propensity for generalized atherosclerosis and aortic
valve and other endocardial calcifications in patients with Paget's