GEORGE HERRMANN, M.D., F.A.C.P.; GEORGE M. DECHERD JR., M.D., F.A.C.P.
Heart failure in its commonest and simplest form represents an inadequacy in contraction of a critical number of individual heart muscle cells. Every clinician has witnessed the death of patients with evidences of complete myocardial insufficiency only to have pathologists offer nothing more than slight microscopic myocardial changes to account for the clinical picture. In such instances, we have hesitated to admit the histological abnormalities as full explanation of the complete insufficiency in myocardial function. On the other hand we have seen serious and extensive pathological processes demonstrated in the hearts of patients who during life have shown no evidence
HERRMANN G, DECHERD GM. THE CHEMICAL NATURE OF HEART FAILURE1. Ann Intern Med. ;12:1233–1244. doi: 10.7326/0003-4819-12-8-1233
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Published: Ann Intern Med. 1939;12(8):1233-1244.
Cardiology, Heart Failure.
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