WALTER L. BIERRING, M.D., F.A.C.P.
The diagnostic signs of myocardial disease may be grouped under two classes: first those which are based on morphologic changes with obvious physical symptoms that make a direct appeal to the senses, and second those that are based on functional reactions, entirely subjective in character and often not susceptible to recognition by the human sense organs.
In general practice two or possibly three distinct types of heart disease are encountered. In childhood and young life the valvular affections prevail, usually the sequel of the acute infectious diseases, principally rheumatic and streptococcic infections which generally attack the valvular endocardium, but may
BIERRING WL. EARLY RECOGNITION OF MYOCARDIAL DISEASE1. Ann Intern Med. 1934;8:497–503. doi: 10.7326/0003-4819-8-4-497
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Published: Ann Intern Med. 1934;8(4):497-503.
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