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November 1, 1944Annals of Internal Medicine

Rupture of the Heart in Patients in Mental Institutions

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Authors

WJWalter W. JetterBoston UniversityPWPaul D. WhiteUniversity of the West of England

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Implication

Postmortem study observes fatal cardiac rupture following unmanaged myocardial infarction in ambulant psychiatric patients, highlighting the protective role of bed rest and physical exertion risks.

Key Points

  • Assess the incidence and predisposing clinical factors of cardiac rupture among ambulant psychiatric inpatients who experience unrecognized acute myocardial infarction.
  • Conducted postmortem pathological evaluations on institutionalized, ambulant mentally ill patients experiencing sudden collapse and unexpected death.
  • Correlated autopsy findings with patient physical activity records and subjective symptoms of visceral disease.
  • Identified fatal cardiac rupture in patients suffering from acute myocardial infarction who lacked typical pain perception and reported no subjective symptoms.
  • Observed that continuous physical ambulation without early rest or sedation increases physiological strain on the damaged myocardium, promoting rupture.

Cite This Study

Jetter et al. (1944) studied this question.

synapsesocial.com/papers/6a71015c31a3df8243293df6https://doi.org/10.7326/0003-4819-21-5-783
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Also Consider

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  5. 5PERFORATION OF THE INTERVENTICULAR SEPTUM FOLLOWING ACUTE MYOCARDIAL INFARCTION: A REPORT OF FOUR CASES DIAGNOSED ANTE MORTEM1956 · 10 citations