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February 6, 1943

TOTAL COLLAPSE ASSOCIATED WITH PHYSICAL EXERTION

Author Affiliations

Johannesburg, South Africa. Medical Consultant in Physical Education to South African Defense Force.

JAMA. 1943;121(6):454. doi:10.1001/jama.1943.02840060072022

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Abstract

To the Editor:—  I should like to comment on the two references to the paper by Colonel Suzman and myself (Mechanisms Involved in Acute Fatal Nontraumatic Collapse Associated with Exertion, Am. Heart J.23:761 [June] 1942) made by Dr. A. M. Master (Total Collapse Associated with Physical Exertion) in The Journal, Oct. 3, 1942, page 392.We have not concluded "that severe physical exertion or trauma can produce coronary occlusion." In fact we have clearly stated that "normally no conceivable functional strain can cause fatal collapse." Regarding Master's second point, I enclose a reprint of a paper by Colonel Melzer and myself (Acute Fatal Nontraumatic Collapse During Work and Sport, South African J. M. Sc.5:4 [March] 1940) which contains the necropsy findings in 64 of the 66 cases of death associated with physical exertion on which our paper is based. Of the two further observations, one has

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