March 15, 1941


Author Affiliations

Des Moines, Iowa

JAMA. 1941;116(11):1052-1053. doi:10.1001/jama.1941.62820110001006

This case is presented because it is pertinent to industrial medicine. Fishberg1 states that transient monoplegias may be the result of disturbed circulation of the brain, but White2 mentions that vertigo, faintness and syncope are rarely symptoms associated with heart disease. However, Barnes3 states that in these cases death may occur on exertion and that previous electrocardiograms may have failed to reveal evidence of coronary disease. In 1937 Willius4 reviewed 700 cases of coronary sclerosis and stated that in only 7 per cent was paroxysmal dyspnea manifested. The relation of heart disease is not commonly associated with injuries to the head, yet in reviewing a medicolegal case Russem5 remarks that "the courts were not as much concerned with the pathology present as with the possible relation of the accidental injury to the onset of heart failure regardless of the condition of the heart before the

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