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Article
February 26, 1968

CORONARY HEART DISEASE: THEN AND NOW 1914

JAMA. 1968;203(9):798-799. doi:10.1001/jama.1968.03140090182013
Abstract

Two years after James Herrick1 published in The Journal of the American Medical Association in 1912 his classical paper on coronary thrombosis Richard Cabot2 published, also in The Journal, his important paper on the causes of heart disease in which he said that "the ravages of arterial disease and perhaps many other causes may produce the lesions of chronic fibrous myocarditis, with or without recognizable symptoms. A diagnosis of myocarditis is like a diagnosis of 'ulcer'; it calls for an etiologic qualification." In that paper Cabot analyzed 600 cases of heart disease with failure seen at the Massachusetts General Hospital and attributed the types or causes as follows: rheumatic heart disease 278, nephritic 117, arteriosclerotic 93, and syphilitic 74; there were also 8 goiter hearts and 30 cases not classified. He went on to say that those with "arteriosclerotic" heart disease "often live many years in comparative comfort. On

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