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January 11, 1902


JAMA. 1902;XXXVIII(2):71-73. doi:10.1001/jama.1902.62480020001001

The condition to which attention is directed in this communication is one of chronic myocardial disease, a fibroid condition if you please, which results from, or is secondary to, sclerosis of the coronary arteries. It should be called coronary artery endarteritis, or chronic endarteritis of the coronary arteries with secondary myocarditis. This is the form which is to be kept in mind in discussing the details of treatment. It is not possible to pick out from the mass of humanity the individuals or class who are likely to be affected with this condition so as to apply measures of prevention. The patients only present themselves for treatment after the condition has become well established and our efforts are to be directed towards delaying the progress and alleviating the sufferings of the patient during the attacks of angina or dyspnea, or other myocardiac symptoms, which attend upon it, and adopting measures

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