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Heart Strain and Its Consequences*

Ann Intern Med. 1928;1(10):790-811. doi:10.7326/0003-4819-1-10-790
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The subject of mechanical strain of the heart and great vessels has been considered in its clinical aspects in the medical literature since the middle of the nineteenth century. Following the pioneer work of Peacock, da Costa, Traube, Seitz, and Allbutt and Roy, the condition became recognized as a clinical entity. To Allbutt the greatest credit is, perhaps, due for describing a large number of cases, clearly demonstrating the operation of overwork and stress in the production of cardiac diseases—factors that had previously been overlooked or neglected by pathologists. The opportunities afforded in modern industry for the study of this




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