ELMER C. BARTELS, M.D., F.A.C.P.
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That anemia can be the primary cause of organic heart disease is doubtful; it can, however, give rise to quite abnormal subjective and clinical signs. For such disturbances to arise it is necessary for the anemia to be severe. It may be of the type characterized by a low level of the hemoglobin and a moderate reduction of the erythrocytes or of the type in which both factors are reduced. Certain criteria are necessary before a diagnosis of heart disease attributable to anemia can be made; namely (1) presence of a marked anemia, and (2) disturbance of cardiac function.
BARTELS EC. ANEMIA AS THE CAUSE OF SEVERE CONGESTIVE HEART FAILURE: REPORT OF A CASE*. Ann Intern Med. 1937;11:400–404. doi: https://doi.org/10.7326/0003-4819-11-2-400
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Published: Ann Intern Med. 1937;11(2):400-404.
Cardiology, Heart Failure, Hematology/Oncology, Red Cell Disorders.
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