CARDIAC PAIN IN RHEUMATIC FEVER

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Abstract
Many clinical observers of patients with rheumatic fever have noted that "heart pain" is a fairly common symptom, and most physicians appreciate the great frequency with which the heart is involved in this disease; but few, if any, statistical studies have been made with the object of correlating these two phenomena. It is our purpose in this communication to present the results of a study extending over several years to determine whether any such correlation exists. The data have been collected as follows: Each day there has been noted on the temperature chart the existence of precordial pain and hyperesthesia during the entire period of each patient's hospitalization. Special features of these signs were recorded in the bedside notes along with other observations concerning the state of the heart. Frequent electrocardiograms have furthermore permitted us to detect abnormalities of heart action that might otherwise have been missed. The constant correlating

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