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FATAL CARDIAC FAILURE IN PERSONS WITH THORACIC DEFORMITIES

J. W. FISCHER, M.D.; ROBERT A. DOLEHIDE, M.D.
AMA Arch Intern Med. 1954;93(5):687-697. doi:10.1001/archinte.1954.00240290045005.
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THE FUNCTIONAL disturbances of the circulation and of respiration which are, at times, associated with kyphoscoliosis have not received the attention they deserve, in spite of the fact that they have been studied by many authors. Deformities of the thorax are usually classified as lordosis, kyphosis, kyphoscoliosis, pectus excavatum, and pectus carinatum. Of these, kyphosis, kyphoscoliosis, and pectus excavatum are the chief offenders. Lordosis usually presents no symptoms.

Hippocrates1 recognized that dyspnea is a common finding in these patients. The first descriptions of early death in persons suffering from kyphoscoliosis did not incriminate the cardiovascular system, and it was not until the end of the last century that continental observers described heart failure as being the commonest cause. Finley,2 in 1921, remarked on the almost complete absence in English literature of any reference to the effects of scoliosis on the thoracic viscera, and he presented four such cases,

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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