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A Clinical-Pathologic Study of Sixty Adult Patients

SAMUEL K. ELSTER, MD; ELMER PADER, MD; HENRY HORN, MD

Arch Intern Med. 1963;112(4):476-487.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Intercurrent febrile illnesses frequently occur during the life history of patients with rheumatic heart disease and may be transitory and of little importance. On the other hand, they may be protracted, associated with severe congestive heart failure, and may terminate fatally. It is essential to determine whether or not the fever is related to the heart disease and to undertake appropriate studies to determine the factors responsible.

This study is a clinicopathologic investigation of adult patients with rheumatic heart disease in whom fever was a prominent part of the terminal illness.

Materials and Methods

This report is an analysis of 6 adult patients seen at The Mount Sinai Hospital between the years 1946 and 1959. The necropsy protocols of all patients during these years were reviewed, and, in those in whom "rheumatic heart disease" was noted, the clinical record was examined. The case was included for study if fever had . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

Assistant Attending Physician, The Mount Sinai Hospital, Instructor of Medicine, Columbia University College of Physicians and Surgeons (Dr. Elster); Assistant Attending Physician, The Mount Sinai Hospital (Dr. Pader); Associate Attending Physician, The Mount Sinai Hospital, Assistant Clinical Professor of Medicine, Columbia University College of Physicians and Surgeons (Dr. Horn).; From the Department of Medicine, The Mount Sinai Hospital.

Footnotes
Received for publication Jan 16, 1963; accepted May 6.

Presented in part at the 34th Scientific Session, American Heart Association, Miami Beach, Fla, October, 1961.

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