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November 15, 1952


Author Affiliations

255 Eastern Parkway, Brooklyn 16.

JAMA. 1952;150(11):1141. doi:10.1001/jama.1952.03680110081029

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To the Editor:  —I would like to comment on the paper entitled "The Frequency of Functional Heart Disturbances" by Arthur M. Master (J. A. M. A.150:195 [Sept. 20] 1952). I feel that the term functional in relation to heart disease should be used only in classifying the functional capacity of the diseased heart in performing work, as is currently done. We ought not employ the term also to denote the various subjective and objective disturbances of the heart or in the region of the heart in the presence or absence of structural disease of that organ. Such usage will not add to an understanding of the basic causes of such disturbances.It should be understood that underlying causes of such disturbances in the absence of structural heart disease are various constitutional abnormalities or diseases. They include among many other conditions reflex disturbances from diseased structures or organs adjacent

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