Cardiovascular Lesions Following Injury to the Chest
Authors: Morris H. Kahn, Samuel Kahn
Journal: Annals of Internal Medicine (1929)

Article1 April 1929Cardiovascular Lesions Following Injury to the ChestMORRIS H. KAHN, M.A., M.D., SAMUEL KAHN, B.S., M.D.MORRIS H. KAHN, M.A., M.D., SAMUEL KAHN, B.S., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-2-10-1013 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe superficial position of the heart and pericardium, directly behind the sternum and the adjacent cartilages, exposes them to danger from injuries to the anterior chest wall. With or without injury to the ribs, or even without obvious external bruising, an external blow may produce very serious damage to the intrathoracic structures. Corresponding to the injuries that take place to the lungs, liver, kidneys or spleen in serious acccidents, it may be plausibly surmised, the heart will suffer similarly the effects of sudden concussion or compression. The character of these effects will depend upon the status of the heart cycle...Additional References1 HAYJONES JHW: Trauma as a Cause of Auricular Fibrillation. Brit. Med. Jour., 1927, i, p. 559. CrossrefGoogle Scholar2 KAHNS. MH: Heart Strain in Its Industrial Aspects. Amer. Heart Jour., 1928, iii, 546. Heart Strain and Its Consequences. Ann. Internal Med., 1928, 1, 790. CrossrefGoogle Scholar3 CRILE GW, in Keen's Surgery, Volume V. Google Scholar4 SPITZMÜLLER W: Injuries of Pericardium: Rare Case. Arch. f. klin. Chir., 1928, cl, 551. Google Scholar5 EYSTERSWARTHOUT : Quoted by Hay and Jones. Loc. cit. Google Scholar6 LEVISON LA: Ann. Int. Med., 1927, i, 227. LinkGoogle Scholar7 ROSENSON W: Heart Block in a Child Following Trauma to the Precordium. Amer. Jour. Dis. Children, 1924, xxviii, 594. Google Scholar8 POTAIN : Clin. Med. de la Charite, Paris, 1894. Google Scholar9 BARIE : Recherches sur les Ruptures Valvulares du Coeur Rev. de Med., 1881, i, 132. Google Scholar10 SENAC : Traite des Maladies du Coeur. 1778. Vol. I. Google Scholar11 CORVISART : Essai sur les Maladies du Coeur. 1811. Google Scholar12 PEACOCK TB: On Some Causes and Effects of Valvular Disease of the Heart. J. Churchill & Sons, London, 1865. Page 34. Google Scholar13 WILKS S: Trans. Path. Soc., London, 1865, xvi, 77. Google Scholar14 DEGANELLO : Arch. Mal. du Coeur, Paris. 1908, i, 710. Google Scholar15 COLWELLMARK : Rupture of the Aortic Valve. Brit. Med. Jour., 1901, ii, 1736. Google Scholar16 HEIDENHAIN L: Deutsch. Ztschr. f. Chir., 1895, xli, 286. CrossrefGoogle Scholar17 ALLBUTT C: Transac. Clin. Soc., ondon, 1873, vi, 101. Google Scholar18 ROSENBACH : Arch. f. Exper. Path. u. Pharmak., 1878, ix, i. Google Scholar19 LITTEN : Ueber traumatische Endocarditis. Centralbl. inn. Med., 1901, xxii, 513. Google Scholar20 VON LEYDEN : Rupture der Aortenklappen. Berl. klin. Wchnschrft. 1889, xxvi. Idem 1892, xxix. Google Scholar21 ROSE : Deutsch. Ztschr. f. Chir., 1885, xx, 319. Google Scholar22 FOSTER : Med. Times and Gazette, 1873, ii, 657. Google Scholar23 LAENNEC : Treatise on Diseases of the Chest and Mediate Auscultation. Translated by John Forbes, London, 1834. Google Scholar24 ALLBUTT C: Effects of Overwork and Strain on the Heart and Great Blood Vessels—St. George's Hosp. Reports, 1870, v, 23. Google Scholar25 MOXON : Med. Times and Gazette, 1870, vol. 2, page 95. Google Scholar26 KEMP : Lancet, 1923, ii, 953. CrossrefGoogle Scholar27 MCWEENEY : Brit. Med. Jour., 1903, i, 251. Google Scholar28 MCFADZEAN : Brit. Med. Jour., 1928, ii, 154. Google Scholar29 FISCHER : Die Wunden des Herzens und Herzbeutels. Von Langenbeck's Arch. f. klin, Chir. 1868, ix, 571. Google Scholar30 REUBOLD : Bemerk. uber die Quetschung. Friedrisch's Blätter f. gerichtl. Med., 1890, xli, 285. Google Scholar31 SCHUSTER : Ztsch. f. Heilkunde, 1880, i, 417. Google Scholar32 JOACHIMMAYS : Amer. Heart Jour., 1927, ii, 682. CrossrefGoogle Scholar33 HARVEY W: Works. Translated by Sydenham Sov. 1847. P. 127. Google Scholar34 MORGAGNI : De Sedibus, Venice, 1761, Epist. 58, No. 14. Google Scholar35 REZNIFOFF : Jour. A. M. A., 1922, lxxviii, 1926. Google Scholar36 HOPKINS : Proc. N. Y. Path. Soc., 1910-1911 (new series), x, 200. FRANCOIS-FRANCK: Gaz. Hebdomad. 1877, xiv. Google Scholar37 KRUMBHAARCROWELL : Amer. Jour. Med. Sci., 1925, clxx, 828. CrossrefGoogle Scholar38 KENNEDY : Lancet, 1914, i. 105. CrossrefGoogle Scholar39 O'NEILL : Jour. Am. Assoc., 1914, xii, 697. CrossrefGoogle Scholar40 TURNERGOULD : Lancet, 1917, ii, 567. CrossrefGoogle Scholar41 BILDERBECK AC: Brit. Med. Jour., 1919, i, 675. Google Scholar42 HOWATT RK: Lancet, London, 1920, i, 1313. CrossrefGoogle Scholar43 DREACK : Giessen Dissertation, 1909. This and a number of other references to the subject were kindly supplied by Dr. E. B. Krumbhaar of Philadelphia, to whom we are deeply grateful. Google Scholar44 CORIN MG: Bull. de l'Acad. Roy. de Med. de Belg. 1911, xv, 563. Google Scholar45 BOUILLAN , quoted by Allbutt, System of Medicine, 1909, Vol. vi, p. 425. MacMillan & Co., London. Google Scholar46 KEEN : Surgery. Saunders, Philadelphia, 1916. Vol. v. Google Scholar47 FREESE : Jour. A. M. A., 1921, lxxvi, 520. Google Scholar48 STEPHENS : Lancet, London. 1922, ii, 1382. CrossrefGoogle Scholar49 FISHER JL: The Repaired Heart. Jour. A.M.A., 1926, lxxxvi, 192. CrossrefGoogle Scholar1 ALLBUTT C: System of Medicine Vol. VI. Google Scholar2 BARNETT N: Accidental Injuries to Workmen. Rebman Co., New York City. 1909. Page 230. Google Scholar3 BROCKBANK EM: Incapacity or Disablement in Its Medical Aspects. H. K. Lewis and Co., Ltd. 1926. Page 33. Google Scholar4 GREER : Industrial Diseases and Accidents. J. W. Arrowsmith, Bristol. 1909. Page 110. Google Scholar5 KNOCKER D: Accidents in their Medico-Legal Aspects. Bailliere, Tindall and Cox. London, 1910. Page 240. Google Scholar6 MARKOFF N: Uber die Traumatische Entstehung der Herzklappenfehler. Diss. Zurich. 1902. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York*From the Department of Cardiovascular Diseases, Beth Israel Hospital, and the State Department of Labor, New York City. 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