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It would have been better had this paper been entitled "cardiovascular disease from the tropics," for I am not in a position to discuss intelligently the relative occurrence of heart affections in the Tropics as I have not practiced there for any considerable period. However, I have had a certain amount of experience with people from southern countries who have been referred to me suffering from diseases of the circulatory system, and I must say that there have been some very interesting people in this group. It has been remarked by students of tropical diseases that such symptoms as palpitation, dyspnea and early fatigue are of common occurrence in the warmer climates and it is interesting to note that in my series this general rule is borne out in a striking manner. One important point to remember is that there are so many conditions caused by parasitical infection, which give rise to edema and large tumorous growths, that it is surprising the circulatory system is not markedly embarrassed in such instances.
1 Read by title at the twenty-second annual meeting of the American Society of Tropical Medicine, Washington, D. C., May 2829, 1926.
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