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December 21, 1940


JAMA. 1940;115(25):2181-2182. doi:10.1001/jama.1940.02810510057016

In the practice of surgery, pulmonary embolism has long been recognized as a frequent and important complication. Strangely, in the practice of internal medicine and in general medical practice this condition has been long neglected. Dr. Paul Dudley White,1 of Boston, has recently reviewed twenty years of personal experience with pulmonary embolism and heart disease. The frequency of failure to recognize pulmonary embolism stresses the importance of the condition in simulating or complicating heart disease. From 1930 to 1940 he made the diagnosis of pulmonary embolism in his own practice seven times more often than in the ten year period from 1920 to 1930, though there was no essential difference either in the type of practice or in the numbers of new and old patients seen. As a matter of fact, even in the second decade the condition was largely overlooked during the first half; two thirds of the