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October 9, 1915

The Early Diagnosis of Heart Failure and Other Essays on the Heart and Circulation.

JAMA. 1915;LXV(15):1300. doi:10.1001/jama.1915.02580150074036

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There are in this book several essays dealing with the heart and circulation. Most of them treat of heart failure. Had Wilson selected a few of his newer ideas, such as the "high diaphragm" or "diminution in the area of liver dulness" as signs of myocardial weakness, or the "distensibility of the heart wall," and emphasized these, omitting many of the trite facts as to physical examination of the heart and symptomatology of heart disease, his argument would have gained in effectiveness from concentration. As it is, even with his summaries and wearisome repetition, it is hard at times to make out what he is driving at. There is much that is suggestive in the book and it shows painstaking and conscientious study of an important subject along somewhat new lines. It is not always recognized that the heart that fails may in the one case enlarge, while in the

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