492 were admitted for diseases of the heart and 463 were invalided from the service – representing a 94% invalid rate! At that time irritable heart was a widely recognised condition but for administrative reasons the clinical syndrome was classified under valvular disease, as the official military service nomenclature had now heading under which to include irritable heart. In his paper in the BMJ 1867 he reviewed the Netley experiences of heart disease in British soldiers and of the 5500 men invalided from foreign stations who passed through the medical division. ![]() He began to study heart disease in soldiers specifically gathered together for the purpose. The first professor of military medicine at Netley Professor William Campbell McLean was appointed. Colchester Garrison benefitted from this and in 1860 the impressive Cavalry Barracks were opened. As part of the commission findings, conditions of army garrisons was improved. As a consequence a magnificent Army Hospital was constructed in Netley, Hampshire called the Royal Victoria Hospital and here the Army medical service – the praecursor to the Royal Army Medical Corps – began when the hospital opened in 1863. The absence of medical transport and supplies and the lack of adequate medical supervision and administration was highlighted. There were a series of royal commissions documenting wartime medical conditions in the field. Over 3000 were invalided to England, 416 with heart disease. The number who killed by disease was 36,000 i.e. The number of British killed in action was 2700. ![]() This was due to the advent of telegraphy and the newspapers. Medical relief of soldiers was something in which the public and Parliament took great interest. ![]() The Crimean War was the first war that the British Public could follow on a daily basis. It was often severe enough to warrant discharge from the Army The men complained of feeling rotten and only slight exertion would bring on fatigue, exhaustion, palpitation, breathlessness, giddiness and pain over the heart. Soldiers would experience palpitations, chest pain, disordered rhythm ,headache, dimness of vision and giddiness. Heart Disease in Soldiers first noticed in the Crimean War 1854 – 1856 and in the Indian Colony.
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