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September 3, 1904


JAMA. 1904;XLIII(10):654-659. doi:10.1001/jama.1904.92500100001c

For many years heart disease has been recognized as an important disturbing complication of pregnancy, labor and the puerperium, while on the other hand, careful attention has been directed to the deleterious influences of pregnancy, labor, etc., in the causation of heart disease. This subject has furnished several interesting pathologic questions that are not yet solved, and some questions of management are not yet agreed on. I do not hope to add new facts, but especially to direct attention to a few points in the management of this complication that are somewhat frequently overlooked.

The term heart disease is a broad one, and of course embraces many different pathologic conditions. It might be of advantage to separately consider some of these different conditions, and especially to distinguish between diseases of the myocardium and those of the endocardium. However, in a general paper, we may adopt the usual custom of considering

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