Clarence Griggs filed with the Industrial Board of Georgia a claim for compensation against West Lumber Company and its insurance carrier, Lumbermen’s Mutual Casualty Company, arising out' of alleged injuries suffered by him while in the employ of the lumber company and engaged in the performance of the duties of his employment. It appeared from the evidence adduced upon the hearing before the single director that the claimant and another employee of the company were engaged in unloading six hundred sacks of cement from a railroad-car on to trucks, each bag weighing about ninety-four pounds; that immediately after unloading this cement, which took about forty minutes, the claimant felt a weakness in his knees; that five or ten minutes after reaching the mill of his employer the claimant fell and caught himself ; that on being told to go out and rest in the sun the claimant *449 started out of the mill and fell once more; that he fell.again, and when his condition appeared to be such that he was unable to continue working he was taken home; and that when he left the mill he was unable to use his left arm and left leg properly. It also appeared that he had suffered a hemorrhage of the brain, which resulted in paralysis of his left arm and left leg.
The medical evidence on behalf of the claimant was that his ailment was precipitated by undue physical exertion; that the claimant’s doctor believed this because it happened immediately following the physical exertion; that exerting labor causes one’s blood pressure to increase by the heart becoming more active, and increased blood pressure frequently causеs a broken blood vessel; that two men unloading a car of cement in about forty minutes, each bag weighing about ninety porinds, would tend to increase the blood pressure of the individual; and that such labor could cause the rupture of а cerebral blood vessel. This doctor testified that in his opinion the claimant’s injury was due to increased blood pressure, with the breakdown of one of the blood vessels, due to the physical strain of the work the claimant had just completed when the paralysis occurred. The doctor for the employer and the insurance carrier stated that such physical exertion might have had something to do with the cerebral hemorrhage of the claimant. It appeared also that the claimant, a negro man about forty-eight years of age, had a blood pressure higher than normal, and in addition had arteriosclerosis, which is a hardening of the arterioles, or small arteries, which condition of the claimant was of the most gradual development. There was evidence that the physical exertion preceding the paralysis caiised the pre-existing infirmities to produce the paralysis. The physician for the defendants testified that the weakening of the minute blood veins was the result of the high blood pressure and arteriosclerosis over a period of years, and the fact that the leakage occurred shortly after the physical exertion was а bare coincidence and could have happened whether the claimant was asleep, resting, playing, or working.
The director found “as a matter of fact that claimant worked continuously loading heavy bags of cement for a period of ap-. proximately forty minutes and unduly exerted himself, and the exertion and heavy work” of unloading “the cement raised his blood pressure and aggravated pre-existing condition and disease of *450 high blood pressure аnd arteriosclerosis, caused a hemorrhage of the brain which resulted in a paralysis of his left arm and left leg.” The director then found that the claimant had sustained an accidental injury arising out of and in the course of his employment аnd that he was totally disabled therefrom, and awarded compensation accordingly. From this award the employer and insurance carrier appealed to the full board which affirmed the award of the single director and found that there' Was “ample evidence to sustain the findings of fact of the hearing director,” and approved his findings of fact and conclusions of law. Thereupon the employer and the insurance carrier appealed to thе superior court where their appeal was sustained and the findings and award of the Industrial Board were reversed. To this judgment the claimant excepted. 1 ■ ■
“‘Injury’ and ‘personal injury’ shall mean only injury by accident arising out of and in the course оf the employment and shall not include a disease in any form except where it results naturally and unavoidably from the accident.” Code, § 114-102. To be compensable' the disease must arise out of, or result from an accident or injury arising оut of, 'and in the course of, the employment. If the facts show a causal connection between the injury and the development of the disease the victim of the disease is entitled to compensation. A traumatic disease, as distinguished from an ideopathic disease, is one which is caused by physical injury' and is compensable. It has been held that a cerebral hemorrhage due to excessive heat is an traumatic disease, and compensable. Johnson v. The Torrington, 1 B. W. C. C. 68. Also, overexertion causing a cerebral hemorrhage is a traumatic disease, and compensable. McInnes v. Dunsmuir, 1 B. W. C. C. 226.
''But in this case the claimant had arteriosclerosis at the time he engaged in this work and lifted these sаcks of cement. The rule is that where á previously diseased condition of a claimant for compensation under the workmen’s compensation act is aggravated by an injury or accident arising out of and in the course of the employment, and this results in disability to the claimant, there is a compensable injury.
Pruitt
v.
Ocean Acc. &c. Cor.,
48
Ga. App.
730 (3) (
In the case under consideration there Avas evidence that the claimant kneAv thаt he had high blood pressure and a diseased condition of the small arteries AAchen he undertook to lift these sacks of cement as he did, but he did not expect the result to be the rupture of a blood vessel causing paralysis of his lеft arm and left leg. While he intended to do the continuous Avork in lifting these sacks Avliieh the situation demanded, he did not anticipate that because of doing so his blood pressure would be so increased as to result in the rupture of a cerebral blood vessel. According' to the medical testimony adduced on the claimant’s behalf that result can be traced to the exertion resulting from the continuous Avork of lifting the six hundred sacks of cement, weighing around ninety-four pounds each, Avithin about forty minutes. It can not be held as a matter of laAv that such lifting did not constitute continuous exerting labor on the part of the claimant.
“Where an employee, AAdiile engaged in the work of his employment, aggravates or accelerates the condition of diseased blood ves
*452
seis, thereby causing death or disability, it may constitute an injury of a character such as to come within the meaning of workmen’s compensation acts authorizing compensatiоn for injuries, accidental injuries, accidental personal injuries, personal injuries, personal injuries by accident, or personal injuries resulting' from a sudden and tangible happening of a traumatic nature, produu ing a prompt result аnd occurring from without. This rule has been held applicable where the employee ruptured a blood vessel or accelerated or aggravated an aneurism, even though the blood vessel was in such a diseased conditiоn that it would have finally produced the injury, and might have happened when the employee was merely walking around or lying in his bed.” 71 C. J. 610, § 364. See, in support of the text, Carson Payson Co.
v.
Industrial Commission,
In
Berkeley Granite Cor.
v.
Covington,
183
Ga.
801 (
It is oUr opinion that the award of the Industrial Board was supported by the evidence, and that the judge of the superior court erred in sustaining the appeal of the employer and of the insurance carrier and in- reversing the award of the Industrial Board.
Jiodgment reversed.
