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February 1923


Author Affiliations


From the Department of Laboratories, Bellevue Hospital, Douglas Symmers, M.D., Director.

Arch Intern Med (Chic). 1923;31(2):221-231. doi:10.1001/archinte.1923.00110140073007

The clinical and pathologic diagnosis of "fatty heart" or of the heart the seat of "fatty degeneration"1 is still too commonly made. A decade ago it was even more frequently diagnosed than it is now. Broadbent2 described the etiology, symptoms, physical signs, prognosis and treatment of fatty degeneration of the heart. He says, "No form of heart disease is regarded with so much apprehension as fatty degeneration. More than any other, it carries with it the dangers of sudden death and the liability to angina pectoris."

Hirschfelder3 also described the symptoms and signs of the heart in fatty degeneration. He says, "The most characteristic symptoms associated with the condition are those of general debility and feebleness, more or less languor and somnolence, as a rule, without marked cardio-respiratory symptoms except shortness of breath on exertion. The pulse is usually small, rather collapsing and feeble, the blood pressure is below normal

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