Archives of internal medicine . follow-ing scarlet fever in his eighth year. Except for a chronic bronchitis, the /. G. VAN ZWALUWENBERG—L. F. WARREN 143 patient has no symptoms at present. The dimensions are as follows:M. E., cm.; M. L., cm.; T. T., cm.; long diameter, cm.;area, by planimeter, 121 sq. cm. Dietlens values for his class are T. T., cm.; long diameter, cm.; area, 131 sq. cm., with a minimum of120 sq. cm. Here is a heart which is certainly hypertrophied from aclinical point of view, yet all its linear dimensions are smaller than thatof a heart which has


Archives of internal medicine . follow-ing scarlet fever in his eighth year. Except for a chronic bronchitis, the /. G. VAN ZWALUWENBERG—L. F. WARREN 143 patient has no symptoms at present. The dimensions are as follows:M. E., cm.; M. L., cm.; T. T., cm.; long diameter, cm.;area, by planimeter, 121 sq. cm. Dietlens values for his class are T. T., cm.; long diameter, cm.; area, 131 sq. cm., with a minimum of120 sq. cm. Here is a heart which is certainly hypertrophied from aclinical point of view, yet all its linear dimensions are smaller than thatof a heart which has an area 20 per cent, smaller. Moreover, its areaexceeds Dietlens minimum dimensions by only 1 sq. cm., while it lies10 sq. cm. below the normal average and 18 sq. cm. below the normalmaximum (see Class VIII of Table 1). GroedeP asserts that valuable information may be obtained by thecareful analysis of the component arcs of the two heart borders, therebyJudging of the relative hypertrophy or dilatation of the anatomical sub-.


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