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Syphilitic aortic insufficiency: The asymptomatic phase
280
AMERICAN
HEART
JOURNAL
The percentage of cases with one organ infarcted was 27.1; infarcted, 13.5; and with three or more, 5.3. The highest incidence multiple viscera was in subacute bacterial endocarditis, 66.6 per having two or more organs infarcted.
with two organs of infarction of cent of the cases AUTHORS.
Kutumbiah, P. : Rheumatism 65, 203, 221, 1941.
in Childhood
and
Adolescence.
Indian
J. Pediat.
8:
The urgency and gravity of the rheumatic problem as it exists in India as yet to be realized by the medical profession and the public at large. Juvenile rheumatism ranks with syphilis, leprosy, and tuberculosis as one of the major problems of national health. In the past four decades much has been done to relieve the sufferings of the victims of leprosy and tuberculosis, by nation wide propaganda and organization. There is a great need for the institution of an active sustained crusade against rheumatic infection following the general principles similar to those successfully being employed against tuberculosis and leprosy. There is at present in existence a nucleus of an organization for controlling rheumatic infection. There are scattered about in the presidency various child welfare centers; in towns and cities there is medical inspection of schools, and in big cities we have adequately equipped and staffed hospitals for the treatment of the diseases of the throat and heart. Most of the work of these existing institutions is into-ordinated. What is urgently required is to co-ordinate the activities of the existing institutions SO that the organized supervision of children both at home and at school may be successfully achieved. AUTHOR. McDermott, W., Tompsett., R. R., and Webster, B.: The Asymptomatic Phase. Am. J. M. SC. 203:
Syphilitic Aortic 202, 1942.
Insnfliciency:
Aortic insufficiency due to syphilis is present in a clinically recognizable form for a relatively lengthy period of time (two to ten years) before the development of symptoms. The asymptomatic form of aortic valvular syphilis is encountered in approximately one-half of the patients with valvular syphilis. Present-day prognostic data, based as they are on the course following the onset of symptoms of failure, are inapplicable to this large group of patients with cardiovascular syphilis. There are no available data on the ultimate length of this asymptomatic phase, but it appears from a study of our cases thus far that it can be measured in terms of years rather than months. AUTHORS. Pasqualini, R. Q., Lascalea, M. C., and Matera, R. F.: Syphilic Aortic Valvulitis and Subacute Bacterial Bndocarditis. Rev. argent. de cardiol. 8: 392, 1942. A case with necropsy is described of subacute bacterial endocarditis, superRecent studies have shown that this imposed on a syphilitic aortitis and valvulitis. is not a rare association as was formerly thought. Avr~oas. Isenhour, Blood 1942.
C. E., Kuder, Pressure and
EL., and Dill, L. V.: The Effect on the Incidence of Hypetiension.
of Parity on the Average Am. J. M. SC. 203: 333,
No demonstrable ,difference can be noted in the incidence of hypertension and the average blood pressure levels of parous and mulliparous women. It seems likely that the hypertension and hypertension-producing diseases which occur following a large portion of the “toxemias of pregnancy” are not the result
AMERICAN
HEART
JOURNAL
The percentage of cases with one organ infarcted was 27.1; infarcted, 13.5; and with three or more, 5.3. The highest incidence multiple viscera was in subacute bacterial endocarditis, 66.6 per having two or more organs infarcted.
with two organs of infarction of cent of the cases AUTHORS.
Kutumbiah, P. : Rheumatism 65, 203, 221, 1941.
in Childhood
and
Adolescence.
Indian
J. Pediat.
8:
The urgency and gravity of the rheumatic problem as it exists in India as yet to be realized by the medical profession and the public at large. Juvenile rheumatism ranks with syphilis, leprosy, and tuberculosis as one of the major problems of national health. In the past four decades much has been done to relieve the sufferings of the victims of leprosy and tuberculosis, by nation wide propaganda and organization. There is a great need for the institution of an active sustained crusade against rheumatic infection following the general principles similar to those successfully being employed against tuberculosis and leprosy. There is at present in existence a nucleus of an organization for controlling rheumatic infection. There are scattered about in the presidency various child welfare centers; in towns and cities there is medical inspection of schools, and in big cities we have adequately equipped and staffed hospitals for the treatment of the diseases of the throat and heart. Most of the work of these existing institutions is into-ordinated. What is urgently required is to co-ordinate the activities of the existing institutions SO that the organized supervision of children both at home and at school may be successfully achieved. AUTHOR. McDermott, W., Tompsett., R. R., and Webster, B.: The Asymptomatic Phase. Am. J. M. SC. 203:
Syphilitic Aortic 202, 1942.
Insnfliciency:
Aortic insufficiency due to syphilis is present in a clinically recognizable form for a relatively lengthy period of time (two to ten years) before the development of symptoms. The asymptomatic form of aortic valvular syphilis is encountered in approximately one-half of the patients with valvular syphilis. Present-day prognostic data, based as they are on the course following the onset of symptoms of failure, are inapplicable to this large group of patients with cardiovascular syphilis. There are no available data on the ultimate length of this asymptomatic phase, but it appears from a study of our cases thus far that it can be measured in terms of years rather than months. AUTHORS. Pasqualini, R. Q., Lascalea, M. C., and Matera, R. F.: Syphilic Aortic Valvulitis and Subacute Bacterial Bndocarditis. Rev. argent. de cardiol. 8: 392, 1942. A case with necropsy is described of subacute bacterial endocarditis, superRecent studies have shown that this imposed on a syphilitic aortitis and valvulitis. is not a rare association as was formerly thought. Avr~oas. Isenhour, Blood 1942.
C. E., Kuder, Pressure and
EL., and Dill, L. V.: The Effect on the Incidence of Hypetiension.
of Parity on the Average Am. J. M. SC. 203: 333,
No demonstrable ,difference can be noted in the incidence of hypertension and the average blood pressure levels of parous and mulliparous women. It seems likely that the hypertension and hypertension-producing diseases which occur following a large portion of the “toxemias of pregnancy” are not the result