Graham Steell (27 July 1851 – 10 January 1942) was a Scottish

physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...

and

cardiologist Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular hear ...

remembered for describing the

Graham Steell murmur A Graham Steell murmur is a heart murmur typically associated with pulmonary regurgitation. It is a high pitched early diastolic murmur heard best at the left sternal edge in the second intercostal space with the patient in full inhalation, inspir ...

Biography

Graham Steell was born in 1851, the youngest son of

Sir John Steell Sir John Robert Steell (Aberdeen 18 September 1804 – 15 September 1891) was a Scottish sculptor. He modelled many of the leading figures of Scottish history and culture, and is best known for a number of sculptures displayed in Edinburgh, ...

. He was educated at the

Edinburgh Academy The Edinburgh Academy is an Independent school (United Kingdom), independent day school in Edinburgh, Scotland, which was opened in 1824. The original building, on Henderson Row in the city's New Town, Edinburgh, New Town, is now part of the Se ...

; his aim was to be a soldier, but he was persuaded to study medicine by a brother. He graduated from the

University of Edinburgh The University of Edinburgh ( sco, University o Edinburgh, gd, Oilthigh Dhùn Èideann; abbreviated as ''Edin.'' in post-nominals) is a public research university based in Edinburgh, Scotland. Granted a royal charter by King James VI in 15 ...

in 1872, studied in

Berlin Berlin ( , ) is the capital and largest city of Germany by both area and population. Its 3.7 million inhabitants make it the European Union's most populous city, according to population within city limits. One of Germany's sixteen constitue ...

and became house physician to George Balfour at the

Edinburgh Royal Infirmary The Royal Infirmary of Edinburgh, or RIE, often (but incorrectly) known as the Edinburgh Royal Infirmary, or ERI, was established in 1729 and is the oldest voluntary hospital in Scotland. The new buildings of 1879 were claimed to be the largest v ...

. He worked in fever hospitals in

Edinburgh Edinburgh ( ; gd, Dùn Èideann ) is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. Historically part of the county of Midlothian (interchangeably Edinburghshire before 1921), it is located in Lothian ...

Leeds Leeds () is a city and the administrative centre of the City of Leeds district in West Yorkshire, England. It is built around the River Aire and is in the eastern foothills of the Pennines. It is also the third-largest settlement (by populati ...

and

London London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a majo ...

, and was awarded a gold medal for his MD thesis on

scarlatina Scarlet fever, also known as Scarlatina, is an infectious disease caused by ''Streptococcus pyogenes'' a Group A streptococcus (GAS). The infection is a type of Group A streptococcal infection (Group A strep). It most commonly affects childr ...

in 1877. In 1878 he moved to the

Manchester Royal Infirmary Manchester Royal Infirmary (MRI) is a large NHS teaching hospital in Chorlton-on-Medlock, Manchester, England. Founded by Charles White in 1752 as part of the voluntary hospital movement of the 18th century, it is now a major regional and nati ...

, becoming assistant physician in 1883 and later professor of clinical medicine. He remained there until his retirement. Many of his early papers concerned

fever Fever, also referred to as pyrexia, is defined as having a body temperature, temperature above the human body temperature, normal range due to an increase in the body's temperature Human body temperature#Fever, set point. There is not a single ...

, but after 1886 his papers concentrated on

cardiology Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart d ...

. He wrote ''Diseases of the Heart'' which was published in 1906. He described the association of

oedema Edema, also spelled oedema, and also known as fluid retention, dropsy, hydropsy and swelling, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may include skin which feels tight, the area ma ...

and

peripheral neuropathy Peripheral neuropathy, often shortened to neuropathy, is a general term describing disease affecting the peripheral nerves, meaning nerves beyond the brain and spinal cord. Damage to peripheral nerves may impair sensation, movement, gland, or or ...

in beer drinkers and patients with

beriberi Thiamine deficiency is a medical condition of low levels of thiamine (Vitamin B1). A severe and chronic form is known as beriberi. The two main types in adults are wet beriberi and dry beriberi. Wet beriberi affects the cardiovascular system, r ...

, both now known to be due to

thiamine Thiamine, also known as thiamin and vitamin B1, is a vitamin, an essential micronutrient, that cannot be made in the body. It is found in food and commercially synthesized to be a dietary supplement or medication. Phosphorylated forms of thi ...

deficiency. He described his eponymous murmur in a paper read to the Manchester Medical Society which was published in 1888. He stressed the importance of disease of the

myocardium Cardiac muscle (also called heart muscle, myocardium, cardiomyocytes and cardiac myocytes) is one of three types of vertebrate muscle tissues, with the other two being skeletal muscle and smooth muscle. It is an involuntary, striated muscle that ...

rather than of the

valves A valve is a device or natural object that regulates, directs or controls the flow of a fluid (gases, liquids, fluidized solids, or slurries) by opening, closing, or partially obstructing various passageways. Valves are technically fittings ...

, and was an advocate of

exercise Exercise is a body activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons, to aid growth and improve strength, develop muscles and the cardiovascular system, hone athletic ...

. Steell married Agnes Dunlop McKie, who was Lady Superintendent of nurses at the Manchester Royal Infirmary, in 1886. They had one son who was a physician and medical officer to the Ministry of Health.

References

External links

* {{DEFAULTSORT:Steell, Graham People educated at Edinburgh Academy Alumni of the University of Edinburgh British cardiologists 1851 births 1942 deaths 19th-century Scottish medical doctors 20th-century Scottish medical doctors