CARDIAC ENLARGEMENT DUE TO MYOCARDIAL DEGENERATION OF UNKNOWN CAUSE

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Abstract
The therapeutic value of prolonged, strict bed rest in cases of severe myocardial degeneration was studied in five patients. In each case, signs of congestive heart failure had persisted despite conventional management. The bed rest and hospital care, specifically designed to minimize the work requirements of the patient's heart, were then added to the regimen. Two patients returned to their normal activities after 10 to 13 months of care in the hospital. At the time of writing three patients were still in the hospital, but their prognosis had been changed from poor to fair. Cardiomegaly had been present in each case before the rest program was instituted, and reduction of cardiac size was an essential criterion of improvement.

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