Presentation of CaseA fifty-year-old woman was admitted to the hospital because of palpitation, dyspnea and orthopnea.She had been treated by a physician for high blood pressure and "sick headaches" for many years. Five years before entry, because of profuse menstrual periods and intermenstrual bleeding, a hysterectomy had been performed for fibroids of the uterus. Adrenalin given preoperatively caused palpitation. After operation the physician told the patient that she must have had rheumatic fever in childhood because the aortic valve was "all eaten away" and the heart was "greatly swollen." An attack of phlebitis in the left leg subsequently . . .
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Cabot et al. (1947) studied this question.