TY - JOUR AU - MASTER, A. M. AB - Abstract The clinical and pathologic diagnosis of "fatty heart" or of the heart the seat of "fatty degeneration"1 is still too commonly made. A decade ago it was even more frequently diagnosed than it is now. Broadbent2 described the etiology, symptoms, physical signs, prognosis and treatment of fatty degeneration of the heart. He says, "No form of heart disease is regarded with so much apprehension as fatty degeneration. More than any other, it carries with it the dangers of sudden death and the liability to angina pectoris." Hirschfelder3 also described the symptoms and signs of the heart in fatty degeneration. He says, "The most characteristic symptoms associated with the condition are those of general debility and feebleness, more or less languor and somnolence, as a rule, without marked cardio-respiratory symptoms except shortness of breath on exertion. The pulse is usually small, rather collapsing and feeble, the blood pressure is below normal References 1. We distinguish here between fatty degeneration of the heart with which this paper deals solely and fatty infiltration in which fat is present beneath the epicardium, or penetrated between muscle bundles even as far as the endocardium. 2. Broadbent, W. H.: Heart Disease and Aneurysm of Aorta, 1906, p. 342. 3. Hirschfelder: Diseases of the Heart and Aorta, 1918, p. 312. 4. Krehl, L.: Ueber fettige Degeneration des Herzens , Deutsch. Arch. f. klin. Med. 1:416, 1893. 5. Osler, William: Principles and Practice of Medicine, 1918, p. 788. 6. Virchow, R.: Virchows Arch. f. path. Anat. 1:94, 1847.Crossref 7. Adami: Principles of Pathology , Ed. 2 11:1511910. 8. Willius, F. A.: Mayo Clinic Collected Papers for 1918, p. 410. 9. MacCallum: Textbook of Pathology , 1920, Ed. 2, p. 84. 10. Beattie and Dickson: Textbook of General Pathology , 1921, pp. 40 and 45. 11. Stengel and Fox: Textbook of Pathology , 1921, Ed. 7, p. 503. 12. Mallory and Wright: Histological Technique , Ed. 7, p. 167. 13. Hofbauer, J.: Die Physiologische Fettinfiltration des Fetalen Herzens , Anat. Anz. 27:426, 1905. 14. Bell, E. T.: The Interstitial Granules in Fatty Metamorphosis of Striated Muscle , J. Path. & Bacteriol. 17:147, 1912. 15. Wegelin, C.: Ueber alimentäre Herzmuskelverfettung , Berl. klin. Wchnschr. 50:2125, 2190, 1913. 16. Eyselein, K.: Untersuchung über den Fettgehalt der Herzmuskulatur , Virchows Arch. f. path. Anat. 218:30, 1914. 17. Bullard, H. H.: The Microscopical Demonstration of Fats in Tissue Sections , J. M. Research 27:55, 1912. 18. Bullard, H. H.: On the Occurrence and Physiologic Significance of Fat in the Muscle Fibers of the Normal Myocardium and Atrioventricular System , Am. J. Anat. 19:137, 1916. 19. Mann, G.: Physiological Histology , Oxford, Clarendon Press, 1902, p. 88. 20. Herxheimer, G.: Ueber Fettfarbstoffe , Deutsch. med. Wchnschr. 27:607, 1901. 21. Dolley, D. H., and Guthrie, F. V.: The Pigmentation of Heart Muscle , J. M. Research 42:289, 1921. 22. Mackenzie, J.: Diseases of the Heart , 1918, Ed. 3, pp. 313, 315. TI - FATTY DEGENERATION OF THE HEART JF - Archives of Internal Medicine DO - 10.1001/archinte.1923.00110140073007 DA - 1923-02-01 UR - https://www.deepdyve.com/lp/american-medical-association/fatty-degeneration-of-the-heart-L5akz0vQV9 SP - 221 EP - 231 VL - 31 IS - 2 DP - DeepDyve ER -