The Internet Archive has a preservation copy of this work in our general collections.
Diagnosis.-This case was diagnosed "double mitral dis¬ ease," that is, mitral stenosis, because of the symptoms, the pounding heart action, and the suspicion of a presystolic murmur. The whole picture is that of nervousness with the effort syndrome. COMMENT The differential diagnosis in young people between heart disease and nervousness, or the so-called "effort syndrome," is in need of great emphasis at the present time. This is particularly true in the case of young women, who are probablydoi:10.1001/jama.1920.02620090012005 fatcat:o5vbu42imbf5pkx2ny4bjkmhmm