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August 1, 1903

Weakness and Dilatation of the Heart in Chronic Nutritional Disease.

JAMA. 1903;XLI(5):323. doi:10.1001/jama.1903.04480020031017

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New York, July 11, 1903.

To the Editor:—With interest I read the paper of Dr. G. W. McCaskey with the above title in The Journal, July 11, 1903. My interest will be readily understood if I may be permitted to quote from my own writings a few practical points in regard to the relation of myocarditis or feeble heart in general to atonia gastrica, and one remark about my carbonic acid gas baths to take the place of Nauheim baths.

In the year 1895 Dr. M. Einhorn pointed out to me the frequency of the occurrences of splashing sound (that is, atonia gastrica) in cases of heart disease. We examined together a number of cases and I published the result of this investigation in a paper ("What is the Significance of the Splashing Sound of the Stomach," N. Y. Medical Journal, June 15, 1895). Later on I followed this

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