Heart disease and disorders in New England

Chronic Cor Pulmonale in Delhi

“…Pneumoconiosis has been repeatedly stressed as the most important predisposing cause of all. 22 Men and women were almost equally affected in the present study (1.2:1.0) unlike previous ones which recorded a high preponderance of males over females. 5' 6, 8, 22 The comparatively young age of these patients was another important feature.…”

Type I Triple Cardiac Rhythm in Normal Hearts

“…Since the third sound in the subjects reported in the present paper was invariably maximal at the apex beat I cannot agree that its presence in the mitral area has any significance. White (1928) stated that " gallop" rhythm, in which term he included protodiastolic gallop resulting from a third sound, was always a sign of considerable gravity in civil life; and that during the 1914-18 war, when soldiers with effort syndrome were gathered together, a combination of pronounced tachycardia and a loud third heart sound occasioned a minimization of the importance of gallop rhythm widely at variance with the appreciation of its significance in civiliAn practice. In the most recent edition of his book on heart disease (White, 1944) he asserts that protodiastolic " gallop" is more serious than presystolic.…”

“…White (1928) stated that " gallop" rhythm, in which term he included protodiastolic gallop resulting from a third sound, was always a sign of considerable gravity in civil life; and that during the 1914-18 war, when soldiers with effort syndrome were gathered together, a combination of pronounced tachycardia and a loud third heart sound occasioned a minimization of the importance of gallop rhythm widely at variance with the appreciation of its significance in civiliAn practice. In the most recent edition of his book on heart disease (White, 1944) he asserts that protodiastolic " gallop" is more serious than presystolic. Now, among the present series of healthy males it was observed that what was usually required for a so-called protodiastolic gallop to be heard was an individual with both a third sound and a pulse rate of over 100.…”

Bacterial Endocarditis Following Cardiac Surgery

“…According to White's estimate,' before the application of surgery to heart disease, subacute bacterial endocarditis made up 1 to 2 per cent of all types of cardiac disease. The incidence was noted to be quite high in the age group 20 to 30,2 3, 7 and rheumatic valvular disease was stressed as the background for the development of bacterial endocarditis.2 17 While pure mitral stenosis is rather rarely the underFrom the Hahnemann Medical College and Hospital and the Bailey Thoracic Clinic, Philadelphia, Pa. 525 lying lesion,4 a combination of mitral stenosis and insufficiency is quite frequent.…”

“…In a report of 1,000 patients operated upon for the tetralogy of Fallot, by systemic-pulmonic anastomosis, Taussig and associates,8 stated that 17 of 844 who survived surgery developed bacterial endocarditis after surgery, and that 4 died of this complication. The onset of infection in 11 patients was soon after surgery; in 6 others, more than 2 months afterwards.…”