rolt968 Posted 10 November , 2021 Share Posted 10 November , 2021 I am trying to make up my mind if the army doctor missed something when James Stewart, 2652, enliste in the Black Watch pre war. His mother died of heart disease in 1894, aged thirty two, ones sister died of heart disease in 1902, aged fourteen and another sister died of heart disease in 1915, aged twenty eight. James collapsed and died in the street of heart disease in 1917, having been discharged as unfit, aged twenty five. However, although he died of heart disease, he was discharged because of his wounds in June 1916. He had been wounded twice. (I feel that he should be an "in from the cold" case, but there is no hope of that as the cause of death and the reason for discharge are different.) RM Link to comment Share on other sites More sharing options...
Dai Bach y Sowldiwr Posted 10 November , 2021 Share Posted 10 November , 2021 (edited) FIrst you would need to know what sort of heart disease each death was due to. Ischaemic heart disease can run in families, but aggravated by smoking in many instances. Some types of congenital heart diseases might also be familial. I suspect that most cases of heart disease in youngsters, children and young adults then was the valvular complications of rheumatic heart disease, causing death from heart failure This isn't really hereditary. Add in the fact that in those days, health was generally deemed to be delivered by the good grace of a superior being, and that early death was due to fate, enquiry into family history of disease was unfruitful, given that treatments for such diseases was close to nil. Edited 10 November , 2021 by Dai Bach y Sowldiwr Link to comment Share on other sites More sharing options...
rolt968 Posted 10 November , 2021 Author Share Posted 10 November , 2021 The entry on the death certifucate of one of the sisters includes valvular heart disease. Link to comment Share on other sites More sharing options...
Dai Bach y Sowldiwr Posted 10 November , 2021 Share Posted 10 November , 2021 Valvular heart disease can be a congenital abnormality, put more likely was acquired as a complication of rheumatic fever, which in the pre-antibiotic era was untreatable. This resulted in stenosis (narrowing) and/ or incompetence (leaking backwards) of the aortic and / or mitral valves. This commonly caused heart failure, but additionally, the damaged valves were predisposed to further infection down the line by bacterial endocarditis (often after dental work). Given that all these infections were common in malnourished households, it is not unusual to see clusters of siblings and parents succumbing from the diseases. But they wouldn't be hereditary diseases. Link to comment Share on other sites More sharing options...
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