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July 13, 1935

Heart Disease in the Tropics

JAMA. 1935;105(2):143. doi:10.1001/jama.1935.02760280055029

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The purpose of this monograph is "to indicate features in cardiovascular diseases induced by tropical conditions and by diseases peculiar to the tropics." The author's classification of heart disease differs materially from that of the American Heart Association. He lists as types of heart disease rheumatic fever, mitral stenosis, myocardial degeneration, angina pectoris, auricular fibrillation and extrasystoles. This method of classification is confusing, since one patient may have two or more of these entities. The material for the text is drawn from 400 cases observed in private practice and 455 cases from the General Hospital in Colombo. The incidence of rheumatic heart disease as quoted by the author may be estimated at 13 per cent. Syphilitic heart disease comprises only 5 per cent of the total. The degenerative lesions, including high blood pressure, myocardial degeneration, renal disease, angina pectoris and coronary thrombosis, are the common types of cardiovascular disease, totaling

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