The calculated incitlenre of active rheumal ir fever in the school population of \\ashington The total incidence or organic- heart disease ~‘~1s 0.47 per rent. County, Iowa, was 0.61 per cent. The etiologv of the organic disease was rheumatic in 58 per cent ; the etiology in the remainder was congenital disease. These results were obtained as a by-product of a planned diagnostic tfAI.li. survey conducted over the period of 1940 to 194.5. Faber,
M.: The Cholesterol Cholesterol Concentration.
Content Acta
of the Human med. Scandinav.
Aorta in Relation 125:418, 1946.
to
the
Serum
The cholesterol content of a section of unit size, taken from the media and intima of the ascending aorta, was compared with the serum cholesterol content and correlated with age in normal persons (victims of death by accidental shooting), in hypertensive patients and, in patients with xanthomatosis. It was found that in normal persons the aortic cholestero1 content rose In essential hyperslowly with advancing age but showed no parallel with the serum content. tension the .aortic cholesterol increased at a more rapid rate than in normal individuals but the serum content did not; whereas the xanthomatosis cases studied showed a rise in both aortic and SAYEN. serum chol&erol. Kjergaard, 1916.
ii.:
Patent
Ductus
BotaJJi
in Three
.‘icta
Sisters.
Med.
Scandinav.
125:339,
The author reports three cases of patent ductus arteriosus in a family that included five children. He suggests that the rarity of reports of similar occurrences in the literature may be due to failure to examine thoroughly all members of families in which a case of congenital heart SAYEN. disease has been discovered. van
Buchem, Scandinav.
F. S. P. : Extensive 12%:182, (d) 1946.
A girl, 18 years of age, with excitement, or passage from a pain with bilateral arm radiation she died. Her blood pressure Electrocardiogram showed right IVF. Serum calcium was 13.2
Calcification
in the
Heart
at an Early
Age.
Acta
med.
a three-year history of many painless collapses after overexertion, cold to a warm environment, developed exertional interscapular to the arms and, finally, congestive heart failure, from which was 135-90. Cyanosis of hands and feet was present. The axis deviation and RS-T segment depression in Leads II, III, and mg. per 100 ml. and serum cholesterol, 223.
Necropsy showed marked right ventricular hypertrophy and extensive calcification in the endocardial and subendocardial musculature of the left ventricle. The coronary arteries were normal. No conclusive explanation for the calcification could be found but it was proposed that the left ventricular endocardium had been injured by previous exertion and that calcium had been deposited at the sites. SAYEh’. Frost,
J.: A Comparison Between Leads CF, and IVF, and Nehb’s Infarction. Acta med. Scandinav.
the Leads from the Leads, With Special 125:15, 1946.
Extremities, the Precordial Regard to the Diagnosis
of
In a study of 221 persons, 110 with heart disease, including 25 with myocardial infarction (eight autopsies), comparisons were made of the relative value of limb leads, chest leads (CF2 and IVF) and Nehb leads. The latter were taken from the angles of a triangle formed by points in the second left intercostal space anteriorly near the sternum, the cardiac apex, and the projection of the apex in the posterior axillary line. It was found in rare cases that Nehb’s “D” Lead (exploring electrode posteriorly, indifferent electrode in the second left intercostal space) showed an abnormal pattern when Leads II and III did not, and might, therefore, be used as a