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Article1 February 1939THE CHEMICAL NATURE OF HEART FAILUREGEORGE HERRMANN, M.D., F.A.C.P., GEORGE M. DECHERD JR., M.D., F.A.C.P.GEORGE HERRMANN, M.D., F.A.C.P., GEORGE M. DECHERD JR., M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-8-1233 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHeart failure in its commonest and simplest form represents an inadequacy in contraction of a critical number of individual heart muscle cells. Every clinician has witnessed the death of patients with evidences of complete myocardial insufficiency only to have pathologists offer nothing more than slight microscopic myocardial changes to account for the clinical picture. In such instances, we have hesitated to admit the histological abnormalities as full explanation of the complete insufficiency in myocardial function. 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Author, Article, and Disclosure InformationAffiliations: Galveston, Texas*Read at the St. Louis meeting of the American College of Physicians, April 19, 1937.From the University of Texas, School of Medicine, Galveston, Texas.Aided by Grant No. 444 from the Committee on Scientific Research of the A. M. A. 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