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La mort d'amour
Volume Nwnber
69 2
Annotations
G. G.: Routine electrocardiographic monitoring in acute myocardial infarction, M. J. Australia 1:433, 1964. 7. Freis, E. D., Schnaper, H. W., Johnson, R. L., and Schreiner, G. E.: Haemodynamic alterations in acute myocardial infarction. 1: Cardiac output, mean arterial pressure, total peripheral resistance, central and total blood volumes, venous pressure and average circulation time, J. Clin. Invest. 31:131, 1952.
La mort
8.
9.
287
Binder, M. J., Ryan, J, A., Marcus, S., Mugler, F., Strange, D., and Agress, C. M.: Evaluation of therapy in shock following acute myocardial infarction, Am. J. Med. 18:622, 1955. Julian, D. G., Valentine, P. A., and Miller, G. G.: Disturbances of rate, rhythm and conduction in acute myocardial infarction, Am. J. Med., 1964. (To be published.)
d’amour
Although widely recognized in song and story, la mart d’amour has received relatively little attention in the medical literature. Dr. George X. Trimble has recently pointed out the singular lack of reported cases, fatal or otherwise, of acute coronary insufficiency following or during sexual intercourse.’ The reluctance of persons involved, and their physicians, to provide accurate documentation of this phenomenon is understandable. In 1957, an autopsy was performed in this department on a 23-year-old soldier, a veteran of Korea, who died while in bed with a woman of questionable character. He was a muscular 200pounder with a 420-gram heart. The coronary arteries displayed severe atherosclerosis and luminal stenosis, but no total occlusion was discovered. Fresh and old infarctions were present in the myocardium. That the stress of coitus imposes an increased
work load on the heart has been vividly demonstrated.2 The epidemiology and prophylaxis of coronary attacks precipitated by sexual activity pose real problems in a population with an increasing incidence of atherosclerosis and leisure time.
University
H. Alexander Heggtoeit, M.D. Departments of Pathology Ottawa General Hospital, and of Ottawa, Faculty of Medicine Ottawa, Ontario, Canada
REFERENCES 1. Trimble, G. X.: Critique and cavil, J.A.M.A. 187:140, 1964. 2. Bartlett, R. G., and Bohr, V. C.: Physiologic responses during coitus in the human, Fed. Proc. 15:lO. 1956.
69 2
Annotations
G. G.: Routine electrocardiographic monitoring in acute myocardial infarction, M. J. Australia 1:433, 1964. 7. Freis, E. D., Schnaper, H. W., Johnson, R. L., and Schreiner, G. E.: Haemodynamic alterations in acute myocardial infarction. 1: Cardiac output, mean arterial pressure, total peripheral resistance, central and total blood volumes, venous pressure and average circulation time, J. Clin. Invest. 31:131, 1952.
La mort
8.
9.
287
Binder, M. J., Ryan, J, A., Marcus, S., Mugler, F., Strange, D., and Agress, C. M.: Evaluation of therapy in shock following acute myocardial infarction, Am. J. Med. 18:622, 1955. Julian, D. G., Valentine, P. A., and Miller, G. G.: Disturbances of rate, rhythm and conduction in acute myocardial infarction, Am. J. Med., 1964. (To be published.)
d’amour
Although widely recognized in song and story, la mart d’amour has received relatively little attention in the medical literature. Dr. George X. Trimble has recently pointed out the singular lack of reported cases, fatal or otherwise, of acute coronary insufficiency following or during sexual intercourse.’ The reluctance of persons involved, and their physicians, to provide accurate documentation of this phenomenon is understandable. In 1957, an autopsy was performed in this department on a 23-year-old soldier, a veteran of Korea, who died while in bed with a woman of questionable character. He was a muscular 200pounder with a 420-gram heart. The coronary arteries displayed severe atherosclerosis and luminal stenosis, but no total occlusion was discovered. Fresh and old infarctions were present in the myocardium. That the stress of coitus imposes an increased
work load on the heart has been vividly demonstrated.2 The epidemiology and prophylaxis of coronary attacks precipitated by sexual activity pose real problems in a population with an increasing incidence of atherosclerosis and leisure time.
University
H. Alexander Heggtoeit, M.D. Departments of Pathology Ottawa General Hospital, and of Ottawa, Faculty of Medicine Ottawa, Ontario, Canada
REFERENCES 1. Trimble, G. X.: Critique and cavil, J.A.M.A. 187:140, 1964. 2. Bartlett, R. G., and Bohr, V. C.: Physiologic responses during coitus in the human, Fed. Proc. 15:lO. 1956.