A. Clinical, Electrocardiographic and Radiological Study of the Heart in Rheumatoid Arthritis.

By E. J. Fischmann and F. J. Gwynne.

[As Drs. Fischmann and Gwynne and Mr. Sagar had been working as a team, of clinician, radiologist, and physicist respectively, on the same series of cases, their papers were taken together. Dr. Gwynne commenced the session with a demonstration of 14 radiographs of charts showing heart dilatation. He was followed by Dr. Fischmann, who delivered the address on the clinical aspects and conclusions. This was followed by Mr. Sagar, who presented his paper on viscosity of bloods taken from this same series of cases. A discussion on the work presented then followed Mr. Sagar's paper.]

As this paper is to appear in full in the British Medical Journal. a summary only is given here.

Three American clinics reported rheumatic cardiac changes at autopsy, in patients with rheumatoid arthritis. In the present study of 60 patients with rheumatoid arthritis (selected from 150), heart enlargement was discovered radiologically in 14, without corresponding clinical or electrocardiographic finding This, and a tentative explanation of the radiological findings, was considered.