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September 17, 1904


Author Affiliations

Professor of Medicine and Clinical Medicine in the Medico-Chirurgical College. PHILADELPHIA.

JAMA. 1904;XLIII(12):776-783. doi:10.1001/jama.1904.92500120002c

To develop the subject of the treatment of arteriosclerosis in its principal bearings, it will be necessary first to subdivide the cases into etiologic categories, as follows: 1. Those due to toxic agencies in the blood, e. g., in chronic alcoholism, lead poisoning, diabetes mellitus, syphilis, gout, rheumatism and other infectious diseases. 2. Arteriosclerosis caused by the constant ingestion of an excess of either the carbohydrates or nitrogenous foods. 3. Cases dependent on constant hypertension, due to muscular overexercise, as in certain laborious occupations and violent competitive sports. 4. Aortic régurgitation, in which overfilling of the blood vessels is a concomitant; also exalted tension arising from ingestion of an excess of fluids, as in beer drinkers. 5. Cases due to senile degenerative changes. With the two last-mentioned groups of cases I shall not deal at present writing, although many of the measures that will be recommended for arteriosclerosis originating in