of Case. A. S., a 28 year old nulliparous Negro housewife was admitted for the seventh time to the Medical Service of Cleveland City Hospital on March 29, 1949, with the complaint of severe, progressive dyspnea of three days' duration. She died on the third hospital day. The patient was first hospitalized at age 14 (1935) because of gonococcal urethritis and cervicitis. At this time the heart w...