. The effects of inanition and malnutrition upon growth and structure. Starvation; Nutrition. 2 24 INANITION AND MALNUTRITION extensive series of 459 autopsies upon victims of the Indian famine, Porter ('89) noted that in 45 per cent of the men the heart weight was under 6 oz. (average 5^ oz.) and in the remaining cases it averaged only 7 oz. In per cent of the women it was below 5 oz. (average oz.) and in the remainder averaged barely 6 oz. For all the men autopsied, the heart weight averaged oz. (ratio to body weight 1 :i96); and for all the women oz. (ratio 1 :i8o). As a
. The effects of inanition and malnutrition upon growth and structure. Starvation; Nutrition. 2 24 INANITION AND MALNUTRITION extensive series of 459 autopsies upon victims of the Indian famine, Porter ('89) noted that in 45 per cent of the men the heart weight was under 6 oz. (average 5^ oz.) and in the remaining cases it averaged only 7 oz. In per cent of the women it was below 5 oz. (average oz.) and in the remainder averaged barely 6 oz. For all the men autopsied, the heart weight averaged oz. (ratio to body weight 1 :i96); and for all the women oz. (ratio 1 :i8o). As a norm for comparison, he cited Quain's (European) ratio of 1: 158 for men and 1: 149 for women; which would indicate a loss of heart weight in the famine victims relatively greater than the loss in body weight. This is somewhat doubtful, however. Most of the cases above childhood represented in the chart of Fig. 70 are from Porter's Fig. 70.—Graph showing the individual weights of the heart, according to body length, in atrophic human cases, newborn to adult, from various sources. The curve of normal heart weight is from data compiled by Prof. R. E. Scammon. It will be noted that, although there is much individual variation, in most cases the heart weight is below normal, the degree of atrophy apparently becoming greater with increasing age and body length. Askanazy ('13) claimed that during inanition relatively the least loss occurs in the heart, brain and bones, the heart losing relatively much less than the whole body. Hirsch ('99), however, stated that in cachexias the cardiac muscle is reduced in proportion to the skeletal muscle and body weight (edemas excepted). This is confirmed by the observation of Meyer ('17), and by the extensive data of Roessle ('19). Bean and Baker ('19) in data from autopsies at the Johns Hopkins Hospital and the Charity Hospital of New Orleans, found the average cardiac weight (excluding pathological hearts) in adults, classified accordi
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