Abstract
In January, 1931, the New York State Department of Health commenced a survey of morbidity from heart disease in the state, exclusive of New York City. During the first half of the year 296 physicians reported 1,934 cases: 933 males and 1,001 females. Age.—The distribution of the patients by age was as follows: under 40 years, 27.4 per cent; between 40 and 60 years, 30.5; 60 years and over, 42.1. The average age was 51.5 and the median age, 55.7 years. The males were, as a group, younger than the females. Of the former, 24.7 per cent were under 40 years; of the latter, 29.9 per cent. The average age of the males was 52.9 years, the median age, 57.7; the average age of the females, 50.3 years and the median age, 53.5. Etiology.—The leading etiological factors were: rheumatic infection, 27.2 per cent; hypertension, 20.1; arteriosclerosis, 8.8; syphilis, 4.6; congenital, 2.4; and in 11.6 per cent the etiology was unknown. The proportion of syphilitic heart disease among males was three times that among females. Pathology.—Damage to valves was indicated in 48.7 per cent; damage to myocardium, 28.9; to coronary vessels, 19.8. Coronary disease was more prevalent among males, while valvular disease and damage to myocardium were more prevalent among females. The proportions were: coronary disease—males 23.7 per cent, females 16.0; valvular disease—males 45.0, females 52.1; damage to myocardium—males 27.8, females 30.0.
Published Version
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