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Article
April 1945

VENESECTION FOR THE PLETHORIC PATIENT

Author Affiliations

CHICAGO

From the departments of Medicine, Northwestern University Medical School and St. Joseph Hospital.

Arch Intern Med (Chic). 1945;75(4):248-250. doi:10.1001/archinte.1945.00210280036005
Abstract

It is traditional to consider the well built, strong, plethoric, overweight person as a candidate for apoplexy or heart disease. Because of the lack of recorded observations to support this clinical impression, a study of the erythrocyte counts and hemoglobin contents of a series of proved cases of coronary thrombosis was made. A study of 58 cases in which there was either autopsy evidence or a series of electrocardiographic tracings typical of coronary thrombosis has revealed that only 8 per cent of the patients had an erythrocyte count of less than 4,500,000

per cubic millimeter and that only 11 per cent had a hemoglobin content of less than 13.0 Gm. There were 36 men, with a mean erythrocyte count of 5,090,000 per cubic millimeter, and 22 women, with a mean erythrocyte count of 4,850,000 per cubic millimeter. Six per cent of the men and 13.5 per cent of the

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