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May 1940


Arch Intern Med (Chic). 1940;65(5):919-932. doi:10.1001/archinte.1940.00190110048005

This communication is a report of 99 cases of what we have called acute miliary infarction of the myocardium; the lesion was usually associated with the clinical syndrome of sudden left ventricular failure The material reviewed consisted of 2,857 consecutive cases in which autopsies were performed at City Hospital during the twelve year period between 1927 and 1938, inclusive. These cases were first separated into two groups on the basis of the presence or absence, macroscopically, of moderate or marked sclerosis of the larger coronary

arteries. The group in which coronary sclerosis was present was subdivided into (a) those in which the primary clinical feature was cardiac dysfunction (cardiac-sclerotic group) and (b) those in which the presenting clinical syndrome was noncardiac (noncardiac-sclerotic group). Cases in which acute coronary thrombosis occurred were also grouped separately. The classification is summarized in table 1.

The most prominent characteristics of the acute miliary infarction