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March 9, 1901

ACUTE TEMPORARY DILATATION OF THE HEART ACCOMPANYING THERMIC FEVER.REPORT OF TWO CASES.

JAMA. 1901;XXXVI(10):635-636. doi:10.1001/jama.1901.52470100027002

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Abstract

Acute dilatation of the heart has been described as occurring under various conditions, chiefly as a result of excessive physical exertion. So far I have found no report of a case in connection with sunstroke or heatstroke—Hitzschlag, as the Germans more exactly express it. The following two cases occurred during the excessively hot weather of the past summer.

Case 2.  —A male, aged 17, born in America, of Danish parentage, and a photographer's assistant, had always been healthy. There was no constitutional disease in the family. The patient's occupation compelled him to work under a partially unprotected skylight the greater part of the day, where the heat was very intense. I was summoned soon after the attack of sunstroke, and found him suffering with the usual symptoms: high temperature; rapid, feeble pulse; headache and dizziness; marked congestion of the vessels of the head and neck. He did not lose

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