London's Pulse: Medical Officer of Health reports 1848-1972

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Kensington 1935

[Report of the Medical Officer of Health for Kensington Borough]

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69
Clinical Report.
During the year a study was made of a special series of cases with particular reference to the information
obtained from the electrocardiograms. Thirty-five of these cases were children suffering from various manifestations
of acute rheumatism, and, as a control, 35 cases with no clinical abnormality and, as far as could be detected,
no abnormal cardiac condition.
The following table shows the results in tabular form obtained from this investigation. Cases 1 to 35 are
children definitely suffering from rheumatism, and cases 36 to 70 are the results obtained from those children
used as a control.

Table: The electrocardiographics curve is empirically lettered P, Q, R, S, T. Abbreviations used in the following table :—Sl.L.A.D. = Slight left axis deviation. R.A.D. = Right axis deviation. M.S. = Mitral stenosis. A.R. = Aortic regurgitation. E.C. = Electrocardiogram.Electrocardiograms in Mitral Stenosis.

The electrocardiographics curve is empirically lettered P, Q, R, S, T. Abbreviations used in the following table :—Sl.L.A.D. = Slight left axis deviation. R.A.D. = Right axis deviation. M.S. = Mitral stenosis. A.R. = Aortic regurgitation. E.C. = Electrocardiogram.Electrocardiograms in Mitral Stenosis.

Name.Sex.Pre-sect age.First attack.First seen.MS. first noted.A.R.Date of E.C.Time of E.C. after M.S. first noted.Age at E.C.Active rheumatic carditis at date of E.C.Deviation.P waves.E.C.
1. J.A.M1319301.35193501935012ActSl.L.A.D.PI flat_
2. H.A.M1219310.311935019350110———
3. G.B.F10?3.33193401934080—PI flat—
4. M.B.F12?19305.341934019351110_PI, 2, 3 flat_
5. E.C.F1319331.331933019341110———
6. F.D.F1619293.291931+19354150SI.R.A.D.PI, 2, 3 flatP—R+ 1 extra ventricular systole. M.S. first.
7. L.F.M1819291.291930+19344160L.A.D.PI, 2, 3 notched.R-R+?
8. V.F.F9?8.291930+1935580—P2+M.S. first.
9. H.G.M1519281.281934019340130—-R—T++ Low voltage.
10. P.G.F1019331.351934+19351100—All flat?
11. R.G.M1219288.301930019366120—All flatR 1 notched.
12. L.H.F1419271.281931019343120R.A.D.PI & 3 flat—
r 19332120SI.R.A.D.A11 P waves flat—
13. O.H.M1519303.311931019354140—
\l9365150
14. S.H.F1419276.291929019334110_PI flat_
15. P.J.M1319321.331934019351120_—_
16. J.L.M12193210.321932+19342100R.A.D.—M.S. first.
+ + +
17. M.L.F1219341.341934+19351120PI small P2 flatR 1 notched. A.R. first.
18. J.L.M15193412.341934019340130Sl.L.A.D.——
19. T.M.M1219299.291931019354110——Low voltage.
20. E.P.F111931—19330——————P—R+ Low voltage.
21. M.P.F1619351.35193401935115Act—PI & P3 flatP—R+. Low voltage.
22. M.S.FDied193310.33193301934160R.A.D. + +R.A.D.—T2 & T3++.
23. F.W.F1319288.291932+19342110PI & P2 notched.P3 inverted PI flatTl flat, T2 & 3+ + . M.S. first.Q.R.S. notched.
24. L.W.F1219343.341934019340100SI.R.A.D.
25. E.W.F1219266.331933+19363120L.A.D.P2 flat?
+ +P3 notched._
26. A.A.F15?6.301930+19344130—M.S. first.
27. C.B.M1119323.3219360?p19360110L.A.D.—T2 & R1 notched.
28. M.D.F1319341.351935019350120———
29. J.G.F1119301930193301933080SI.R.A.D.PI & 3 flatP—R+.
30. J.P.M11?193319340?p1934090Sl.L.A.D.P2 +R—R+.
31. R.R.M819341936193601936080—All notchedT2 + .
32. A.S.F12193219331932+ ?p1933190SI.R.A.D.All flatP—R+. M.S. first.
33. D.W.F14193019311931019343120SI.R.A.D.P2 + +_
Pl notched P2 small P3 flat-
34. J.W.M13192819351935019350120_-
-
35. R.B.M12193119341934019362120—All smallT2+.