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June 11, 1949

MYOCARDIAL INSUFFICIENCYMechanisms and Management with Data on a New and Safer Mercurial Diuretic

Author Affiliations

Galveston, Texas
From the Cardiovascular Service, University of Texas, Medical Branch, Glaveston, Texas.

JAMA. 1949;140(6):509-513. doi:10.1001/jama.1949.02900410005002

The modern physician hopes to prevent the development of the symptoms and signs of myocardial insufficiency. The clinical evidences of potential or latent asymptomatic heart disease are certain reliable criteria.1 The potentialities of the diagnosis should be recognized and a program for the postponement of heart failure inaugurated. It is desirable that one have a clear understanding and prompt interpretation of the derangements of the function which may insidiously put in an appearance in patients who had old healed heart lesions. Some knowledge of the mass of new human cardiologic data is indispensable. Many facts have been revealed in recent years by venous catheterization of the right atrium, ventricle and pulmonary artery, as devised by Forssmann.2

Critical consideration of the newer concepts is not only desirable but actually necessary for the scientific handling of patients. Some iconoclasts have taken the extreme view that congestive heart disease and circulatory

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