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PART IV

O. BRENNER, M.D., M.R.C.P.

Arch Intern Med. 1935;56(5):976-1014.

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

PRIMARY PULMONARY VASCULAR SCLEROSIS

In this rare condition there is sclerosis of the pulmonary arteries for no obvious reason (such as cardiac or pulmonary disease) as well as hypertrophy of the right but not the left side of the heart. Most of the patients die of heart failure. Hypertrophy of the right side of the heart, though not stressed in the definitions given in the literature, is particularly important. In the present series, 23 of 31 patients without ecardiac or pulmonary disease showed pulmonary vascular sclerosis, but circulatory symptoms and hypertrophy of the right heart were present in only 1 patient, the only one in whom a diagnosis of primary sclerosis was justified. In many cases reported in the literature chronic pulmonary or cardiac disease was present or hypertrophy of the right heart was absent, so that those cases must be considered as spurious. The question may be clarified . . . [Full Text PDF of this Article]

Author Affiliations
Physician for Outpatients and Physician in Charge of the Cardiographic Department, Queen's Hospital BIRMINGHAM, ENGLAND

Footnotes
In this series of five papers the superior numbers refer to the bibliography which will be published in connection with the last paper. The superior letters refer to footnotes.

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