Claude Beck
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Claude Schaeffer Beck (November 8, 1894 – October 14, 1971) was a pioneer
cardiac surgeon Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to cor ...
, famous for innovating various cardiac surgery techniques, and performing the first
defibrillation Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). A defibrillator delivers a dose of electric current (often called a ''cou ...
in 1947. He was the first American professor of cardiovascular surgery, from 1952 through 1965. He was a nominee for the Nobel Prize in Medicine in 1952.


Early life and education

Beck was born on November 8, 1894, in
Shamokin, Pennsylvania Shamokin (; Saponi Algonquian languages, Algonquian ''Schahamokink'', meaning "place of eels") (Unami language, Lenape Indian language: Shahëmokink) is a city in Northumberland County, Pennsylvania, Northumberland County, Pennsylvania, United Sta ...
. He attended undergraduate school at
Franklin & Marshall College Franklin & Marshall College (F&M) is a private liberal arts college in Lancaster, Pennsylvania. It employs 175 full-time faculty members and has a student body of approximately 2,400 full-time students. It was founded upon the merger of Fran ...
in
Lancaster, Pennsylvania Lancaster, ( ; pdc, Lengeschder) is a city in and the county seat of Lancaster County, Pennsylvania. It is one of the oldest inland cities in the United States. With a population at the 2020 census of 58,039, it ranks 11th in population amon ...
. He received his medical degree in 1921 from
Johns Hopkins Johns Hopkins (May 19, 1795 – December 24, 1873) was an American merchant, investor, and philanthropist. Born on a plantation, he left his home to start a career at the age of 17, and settled in Baltimore, Maryland where he remained for most ...
. He then pursued general surgery training at Yale University's New Haven Hospital. From 1923 to 1924, he served as the Arthur Tracy Cabot Fellow in Surgical Research at
Harvard University Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher le ...
under the guidance of Dr.
Harvey Cushing Harvey Williams Cushing (April 8, 1869 – October 7, 1939) was an American neurosurgeon, pathologist, writer, and draftsman. A pioneer of brain surgery, he was the first exclusive neurosurgeon and the first person to describe Cushing's disease. ...
. At the same time, he was also an associate surgeon at the
Peter Bent Brigham Hospital Brigham and Women's Hospital (BWH) is the second largest teaching hospital of Harvard Medical School and the largest hospital in the Longwood Medical Area in Boston, Massachusetts. Along with Massachusetts General Hospital, it is one of the two fo ...
where he worked with Dr.
Elliott Cutler Elliot Carr Cutler (July 30, 1888 – August 16, 1947) was an American surgeon, military physician, and medical educator. He was Moseley Professor of Surgery at Harvard Medical School, surgeon-in-chief at Peter Bent Brigham Hospital from 1932 to ...
. In 1924, Cutler moved to Lakeside Hospital of
Case Western Reserve University Case Western Reserve University (CWRU) is a private research university in Cleveland, Ohio. Case Western Reserve was established in 1967, when Western Reserve University, founded in 1826 and named for its location in the Connecticut Western Reser ...
and Beck moved with him where he became the first Crile Research Fellow in Surgery. Beck was a resident surgeon at Lakeside Hospital from 1926 to 1927 and an instructor at Case Western from 1925 to 1928 where he rose through the ranks and became an assistant professor in 1928 and an associate professor of surgery in 1933. In 1940, Beck became a tenured professor in neurosurgery, and in 1952 he received the title of professor of cardiovascular surgery. Finally, in 1965 he was named professor emeritus. Beck stayed at Case Western until his death in 1971.


Career

In the 1930s, Beck worked on the problem of how to restore circulation to the heart, by developing a technique to implant some
pectoral muscle Pectoral muscles (colloquially referred to as "pecs") are the muscles that connect the front of the human chest with the bones of the upper arm and shoulder. This region contains four muscles that provide movements to the upper limbs or ribs. P ...
into the
pericardium The pericardium, also called pericardial sac, is a double-walled sac containing the heart and the roots of the great vessels. It has two layers, an outer layer made of strong connective tissue (fibrous pericardium), and an inner layer made of ...
, which provided an additional source of circulation. The technique received great acclaim at the time, though it was eventually replaced with more modern techniques. He performed the first "Beck I" operation (cardiopericardiopexy) in 1935. The Beck II operation came about in the late 1940s, which created a vein graft between the aorta and coronary sinus. In 1947, he performed the first successful
defibrillation Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). A defibrillator delivers a dose of electric current (often called a ''cou ...
. He had been operating on a 14-year-old boy with a congenital disorder, but towards the end of the surgery as the boy's chest was being closed, the boy went into cardiac arrest. Beck reopened the chest and tried to massage the heart by hand for approximately 45 minutes, before proceeding to the use of defibrillator which had been designed by Beck and built by his friend James Rand (of the Rand Development Corp.). Beck applied the paddles of the device directly to the boy's heart, and successfully brought the heart out of fibrillation. The boy made a full recovery. Beck is also credited with describing the physiological basis for the signs of acute
cardiac tamponade Cardiac tamponade, also known as pericardial tamponade (), is the buildup of fluid in the pericardium (the sac around the heart), resulting in compression of the heart. Onset may be rapid or gradual. Symptoms typically include those of obstruct ...
. The
medical sign Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showin ...
s classically associated with acute cardiac tamponade are collectively called Beck's triad.


Personal life and death

His daughter,
Mary Ellen Wohl Mary Ellen Beck Wohl (June 12, 1932 - October 9, 2009) was Chief of the Division of Respiratory Diseases at Children's Hospital Boston (a teaching hospital of Harvard Medical School), and served as Associate Director of the General Clinical Researc ...
, became chief of the respiratory diseases division at Children's Hospital Boston, amongst other accomplishments. He retired in 1965, and died of a stroke in 1971.


Publications

* "Two cardiac compression triads",
Journal of the American Medical Association ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of bio ...
, 1935 * "Ventricular fibrillation of long duration abolished by electric shock", JAMA, 1947 * "The development of a new blood supply to the heart by operation", Annals of Surgery, 1935


References


External links

* {{DEFAULTSORT:Beck, Claude 1894 births 1971 deaths American cardiac surgeons People from Shamokin, Pennsylvania Johns Hopkins School of Medicine alumni Case Western Reserve University alumni 20th-century surgeons