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November 17, 1917


JAMA. 1917;LXIX(20):1726-1727. doi:10.1001/jama.1917.02590470066022

To the Editor:  —The report on soldiers returned as cases of "disordered action of the heart" of the Medical Research Committee in England has recently been supplemented by reports of the detailed clinical studies made by members of the staff, contained in Heart, 6, No. 4. The most striking features of these excellent and very detailed studies are, first, the negative conclusions as to the etiology and pathology of this syndrome, and, second, the positive conclusion that graduated exercises cure a large proportion of the patients.These patients show certain symptoms which to my mind are most significant—breathlessness, and blood pressure and pulse reactions to exercise. The authors state that "the response of the respiratory rate to exercise is a very exaggerated one." Again, "None of our patients are capable of such effort (i. e., amounts of work healthy young adults are capable of): equal distress and similar pulse rates

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