We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |


Emile Holman, M.D.; Forrest Willett, M.D.
JAMA. 1951;146(1):1-7. doi:10.1001/jama.1951.03670010005001.
Text Size: A A A
Published online


Tuberculous pericarditis, chronic and insidiously progressive, frequently characterized in its early stages by an inflammatory effusion and culminating almost inevitably in great thickening and fibrous contraction of the diseased pericardium, presents real difficulties in its management.1 From very inception, it poses the twofold problem of controlling infection and correcting the mechanical interference with the flow of blood imposed by constriction of the heart or of its great vessels, most particularly the vena cava, the compression of which is believed to be the primary reason for the persistent and recurring pleural and peritoneal effusion.

The gravity of the disease is illustrated by the study of Harvey and Whitehill2 "Of 20 proven cases with effusion 16 died and of 17 proven cases without an effusion 15 died, a mortality of 83 per cent." Blalock and Levy,3 in a study of 22 proved cases in 1937, reported that

Every patient,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.