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JAMA 100 Years Ago
December 1, 1999

Heart Disease.

Author Affiliations

JenniferReiling, Editorial Assistant

JAMA. 1999;282(21):1990I. doi:10.1001/jama.282.21.1990I-JJY90039-3-1

NOVEMBER 18, 1899

The case here reported by Chase is one of very extensive dilatation of the heart from endocardial disease with various other lesions. Its special points of interest are stated by him as follows: 1. The amount of cardiac disease a man can have and still suffer no actual pain. 2. The enormous capability of a heart to dilate and hypertrophy to gain enough strength to do its required work. 3. The existence in one heart of three regurgitant and two stenotic murmurs, there being at the same time no valve that is working quite satisfactorily. 4. The relation between the heart's strength and the loudness of the murmurs, showing how very true it is that loud murmurs often are much more desirable than weak ones. 5. That the indications for treatment of heart disease depend much more on the condition of the heart walls than on the existence of a murmur over one or more of the different valve areas.