SYPHILITIC HEART DISEASE IN THE AGED
Authors: F D ZEMAN, S STORCH
Journal: Annals of Internal Medicine (1952)

Article1 June 1952SYPHILITIC HEART DISEASE IN THE AGEDFREDERIC D. ZEMAN, M.D., F.A.C.P., SIDNEY STORCH, M.D.FREDERIC D. ZEMAN, M.D., F.A.C.P., SIDNEY STORCH, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-6-1423 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe increasing number of older individuals in the population has already forced clinicians to modify long established descriptions of disease, and in the years to come will make necessary the complete revision of textbooks of medicine to include the manifestations of disease in the aged. Studies by one of us (F. D. Z.) on acute and subacute bacterial endocarditis in the elderly showed how differently the senescent organism reacts to infection, how difficult diagnosis may be in the face of atypical symptoms, and how often associated serious maladies or complications obscure the causative pathologic changes.1The present contribution is...Bibliography1. ZemanSiegal FDS: Acute bacterial endocarditis in the aged, Am. Heart J. 29: 597, 1945. Zeman, F. D.: Subacute bacterial endocarditis in the aged, Am. Heart J. 29: 661, 1945. CrossrefGoogle Scholar2. WhiteJones PDTD: Heart disease and disorders in New England, Am. Heart J. 3: 302, 1928. CrossrefGoogle Scholar3. Scott RW: Symptoms and clinical course of syphilitic aortic insufficiency, Am. Heart J. 6: 86, 1930. CrossrefGoogle Scholar4. Reid WD: Diagnosis of cardiovascular syphilis: analysis of clinical and postmortem findings, Am. Heart J. 6: 91, 1930. CrossrefGoogle Scholar5. Welty JW: Necropsy survey of cardiovascular syphilis, with particular reference to its decreasing incidence, Am. J. M. Sc. 197: 782, 1939. CrossrefGoogle Scholar6. LevittLevy ADS: Syphilitic aortic disease, analysis of 508 cases, New York State J. Med. 40: 648, 1940. Google Scholar7. Woodruff IO: Cardiovascular syphilis, Am. J. Med. 4: 248, 1948. CrossrefMedlineGoogle Scholar8. Symmers D: Spontaneous rupture of aorta in syphilitic aortitis without aneurysm, J. A. M. A. 125: 1035, 1944. CrossrefGoogle Scholar9. LoewenbergBaer SAS: Aneurysm of descending thoracic aorta, Am. Heart J. 32: 653, 1946. CrossrefMedlineGoogle Scholar10. ReaderRomeoWebsterMcDermott GGBJBW: The prognosis of syphilitic aortic insufficiency, Ann. Int. Med. 27: 584, 1947. LinkGoogle Scholar11. Alex M: Rupture of aortic aneurysm into the superior vena cava, Am. Heart J. 39: 455, 1950. CrossrefMedlineGoogle Scholar12. Case records, Massachusetts Gen. Hospital, No. 34141, New England J. Med. 238: 477 (April 1) 1948. CrossrefMedlineGoogle Scholar13. LisaChandlee JRHJ: Heart and great vessels in combined syphilitic and rheumatic infection, Arch. Int. Med. 54: 952, 1934. CrossrefGoogle Scholar14. CowanRennie JJK: Syphilis of the heart, Brit. M. J. 2: 184, 1921. Google Scholar15. Swanson H: Combined syphilitic aortitis and rheumatic disease of the heart, Am. Heart J. 18: 672, 1939. CrossrefGoogle Scholar16. SagerSohval RA: Combined syphilitic and rheumatic disease of the aortic valve, report of 3 cases, Arch. Path. 17: 729, 1934. Google Scholar17. LisaSolomonEckstein JRCD: The heart in combined syphilitic aortic valvulitis and rheumatic heart disease, Arch. Path. 33: 37, 1942. Google Scholar18. SmithSaxtonFritz JRJRHC: Syphilitic cardiovascular disease combined with chronic endocardial lesions usually attributed to rheumatic fever, Am. J. Med. 10: 37, 1951. CrossrefMedlineGoogle Scholar19. Nichols CF: A study of syphilis of the aorta and aortic valve, Ann. Int. Med. 14: 960, 1940. LinkGoogle Scholar20. Smith FJ: Co-existence of syphilis of aorta and bacterial endocarditis. Report of 3 cases, Internat. Clin. 2: 1, 1937. Google Scholar21. Boyd CH: Bacterial endocarditis and syphilitic heart disease, Rhode Island M. J. 23: 47, 1940. Google Scholar22. Koletsky S: Syphilitic cardiovascular disease and bacterial endocarditis, Am. Heart J. 23: 208, 1942. CrossrefGoogle Scholar23. JonesBedford EDR: Syphilitic angina pectoris, Brit. Heart J. 5: 107, 1943. CrossrefMedlineGoogle Scholar24. VonderlehrUsilton RALJ: The chance of acquiring syphilis and the frequency of its disastrous outcome, Ven. Dis. Inform. 19: 1, 1938. Google Scholar25. Levine SA: The diagnosis of syphilitic aortitis with negative Wassermann reactions, Am. Heart J. 6: 116, 1930. CrossrefGoogle Scholar26. Beckh W: The serologic reaction in cardiovascular syphilis, Am. Heart J. 24: 307, 1943. CrossrefGoogle Scholar27. RuffinCastlemanWhite MBPD: Arteriosclerotic aneurysms and senile ectasia of the thoracic aorta, Am. Heart J. 23: 458, 1942. Google Scholar28. Garvin CF: Functional aortic insufficiency, Ann. Int. Med. 13: 1799, 1940. LinkGoogle Scholar29. Fenichel N: Arteriosclerotic aortic insufficiency, Am. Heart J. 40: 117, 1950. CrossrefMedlineGoogle Scholar30. Sussman ML: The differentiation of mediastinal tumor and aneurysm by angiocardiography, Am. J. Roentgenol. 58: 584, 1947. Google Scholar31. PeabodyReaderDotter GEGGCT: Angiocardiography in the diagnosis of cardiovascular syphilis, Am. J. M. Sc. 219: 242, 1950. CrossrefMedlineGoogle Scholar32. EdeikenFortFalkStokes JWJMSJH: Penicillin treatment of patients with cardiovascular syphilis in congestive failure, Circulation 1: 1355, 1950. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Read in abbreviated form before the Seventh Annual Meeting, American Geriatrics Society, New York City, June 2, 1950. Received for publication November 16, 1951.From the Medical Services and the Laboratories, Division of Pathology, the Mount Sinai Hospital, New York, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAortic regurgitation in the elderlyThe Late Manifestations of Syphilis: Skeletal, Visceral and CardiovascularAllgemeine Pathologie der Syphilis 1 June 1952Volume 36, Issue 6Page: 1423-1436KeywordsCardiovascular therapyElderlyEndocarditisGeriatricsHospital medicineMedical servicesPathology and laboratory medicine Issue Published: 1 June 1952 PDF downloadLoading ...