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December 16, 1905


JAMA. 1905;XLV(25):1877. doi:10.1001/jama.1905.02510250043013

While it can not be denied that heredity is a not unimportant factor in the development of arteriosclerosis, still it must be admitted that not less significance is to be attached to the exciting factors, namely, strain, infection and intoxication. The effects of the former are not readily averted, although something can be done in this direction, while numerous prophylactic measures may be instituted to exclude the latter. The disease of the vessels must be looked on as a response of the tissues to various irritants, and in its prevention effort must be directed to strengthening resistance and to avoidance and removal of undue stimulation. Even when developed the disorder is not wholly unamenable to therapeutic intervention. At least its effects can be ameliorated in part and its further progress retarded. Great usefulness in this direction is claimed by Dr. E. Hirschfeld1 for the systematic employment of hot baths,