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FATTY DEGENERATION OF THE HEART CAUSING MYOCARDIAL INSUFFICIENCY: REPORT OF A CASE

FATTY DEGENERATION OF THE HEART CAUSING MYOCARDIAL INSUFFICIENCY: REPORT OF A CASE Abstract Fatty degeneration of the heart is a retrogressive condition in which fat droplets are found in the myocardial sarcoplasm. It is usually secondary to such conditions as myocarditis, pericarditis, coronary arteriosclerosis, myocardial insufficiency, starvation, anemia, fever, phosphorus or arsenic poisoning, diphtheria, scarlet fever, typhoid fever and various other diseases but has been noted to occur without any demonstrable cause.1 The condition is common, especially in minor degrees. Concerning the functional significance of fatty degeneration of the heart there is no unanimity of opinion. Lewis2 stated: "Fatty heart should not be diagnosed.... In severe diphtheria the cardiac muscle may be so degenerate with fatty particles that it is throughout of a pure yellow colour, yet the heart continues beating. Because diffuse fatty degeneration occurs in the senile heart, or in coronary artery disease, that is no reason for regarding fat in the heart as a cause of sudden death. References 1. Delafield, F., and Prudden, T. M.: A Text-Book of Pathology , ed. 15, New York, William Wood & Company, 1931, pp. 619-620. 2. Lewis, T.: Diseases of the Heart , ed. 2, New York, The Macmillan Company, 1937, p. 250. 3. Willius, F. A.: The Heart in Obesity , Mod. Concepts Cardiovasc. Dis. , 1938, vol. 7, no. (9) . 4. MacCallum, W. G.: A Text-Book of Pathology , ed. 6, Philadelphia, W. B. Saunders Company, 1936, p. 452. 5. Herrmann, G. R.: Synopsis of Diseases of the Heart and Arteries , St. Louis, C. V. Mosby Company, 1936, p. 170. 6. Welch, cited by MacCallum.4 7. Muir, R.: Text-Book of Pathology , Philadelphia, J. B. Lippincott Company, 1924, p. 263. 8. Mönckeberg, J. G.: Die Erkrankungen des Myokards und des spezifischen Muskelsystems , in Henke, F., and Lubarsch, O.: Handbuch der speziellen pathologischen Anatomie und Histologie , Berlin, Julius Springer, 1924, vol. 2, pt. 3, p. 345. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

FATTY DEGENERATION OF THE HEART CAUSING MYOCARDIAL INSUFFICIENCY: REPORT OF A CASE

Archives of Internal Medicine , Volume 66 (3) – Sep 1, 1940

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Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1940.00190150074005
Publisher site
See Article on Publisher Site

Abstract

Abstract Fatty degeneration of the heart is a retrogressive condition in which fat droplets are found in the myocardial sarcoplasm. It is usually secondary to such conditions as myocarditis, pericarditis, coronary arteriosclerosis, myocardial insufficiency, starvation, anemia, fever, phosphorus or arsenic poisoning, diphtheria, scarlet fever, typhoid fever and various other diseases but has been noted to occur without any demonstrable cause.1 The condition is common, especially in minor degrees. Concerning the functional significance of fatty degeneration of the heart there is no unanimity of opinion. Lewis2 stated: "Fatty heart should not be diagnosed.... In severe diphtheria the cardiac muscle may be so degenerate with fatty particles that it is throughout of a pure yellow colour, yet the heart continues beating. Because diffuse fatty degeneration occurs in the senile heart, or in coronary artery disease, that is no reason for regarding fat in the heart as a cause of sudden death. References 1. Delafield, F., and Prudden, T. M.: A Text-Book of Pathology , ed. 15, New York, William Wood & Company, 1931, pp. 619-620. 2. Lewis, T.: Diseases of the Heart , ed. 2, New York, The Macmillan Company, 1937, p. 250. 3. Willius, F. A.: The Heart in Obesity , Mod. Concepts Cardiovasc. Dis. , 1938, vol. 7, no. (9) . 4. MacCallum, W. G.: A Text-Book of Pathology , ed. 6, Philadelphia, W. B. Saunders Company, 1936, p. 452. 5. Herrmann, G. R.: Synopsis of Diseases of the Heart and Arteries , St. Louis, C. V. Mosby Company, 1936, p. 170. 6. Welch, cited by MacCallum.4 7. Muir, R.: Text-Book of Pathology , Philadelphia, J. B. Lippincott Company, 1924, p. 263. 8. Mönckeberg, J. G.: Die Erkrankungen des Myokards und des spezifischen Muskelsystems , in Henke, F., and Lubarsch, O.: Handbuch der speziellen pathologischen Anatomie und Histologie , Berlin, Julius Springer, 1924, vol. 2, pt. 3, p. 345.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1940

References