Opinions as to the presence and nature of cardiac lesions associated with chronic infectious (rheumatoid) arthritis have been varied. Fuller1 and Garrod2 have stated that, as a rule, the heart is not injured in rheumatoid arthritis. Fuller stated that he had never seen a case in which he could attribute pericarditis or endocarditis to rheumatoid arthritis. Garrod observed that if patients with rheumatoid arthritis have valvular insufficiency, one can assume a previous attack of rheumatic fever has been the cause of the lesion.
Strümpell3 and Pribram4 stated that in rheumatoid arthritis of slow, insidious onset cardiac involvement does not occur, but when the disease is ushered in by an acute febrile attack of arthritis the heart is often implicated.
Barjon,5 on the other hand, estimated that the number of cardiac complications is just as high in the cases of rheumatoid arthritis with chronic onset as