Year: 1942
Type: article
Study design: Case Report
Abstract: In view of the recent communication of Corner and Bruce Perry (1942) the following case is of special interest.A girl, aged 19 (Fig. 1), was first seen on February 21, 1942, when she was admitted to the London Hospital for dental extractions.Since the age of 2 she had been under observation for " heart trouble" with blueness and swollen fingers.Her activities had always been limited by shortness of breath, although for the last three years she had been capable of light work in the home.There had been no faints or cerebral attacks, and there was no history of congenital heart disease in parents or siblings.She was a tall and well-developed girl with purple cyanosis; this was general, but most striking on the cheeks and lips, as well as in the fingers and toes, which were grossly clubbed.The pulse was regular and of good volume.The apex beat was palpable in the fifth space in the mid-clavicular line, and there were no thrills.Normal heart sounds were heard in all areas, and there was a diffuse systolic murmur of only moderate intensity, maximal in the pulmonary area and below it.The blood pressure was 120/80.There were scattered rhonchi over both lungs and slight lumbar cedema, but no other signs of heart on July 21,
Source: Heart
DOI: 10.1136/hrt.4.4.124
Authors: A. Hunter, J. M. Lipscomb
Institution: Royal London Hospital
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W1966142804