The Medical Clinics of North America Volume 2, Nos. 1-3

The Medical Clinics of North America Volume 2, Nos. 1-3

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1919 edition. Excerpt: ...he entered, but the attack ceased by the time he was admitted to the Base Hospital. In the second case the pulse-rate was too fast to count when the patient came in, and it was especially noted that the heart showed no murmurs. The following day, when the rate returned to normal, there were unmistakable signs of aortic regurgitation, on which account the patient was rejected from the army. This case illustrates the observation of Bard, that even the most pronounced of orificial murmurs are liable to disappear during an attack of paroxysmal tachycardia. Usually, however, as in the series of cases here reported, the soldier is taken with an attack after a short period of military service and remains under observation in the hospital. The medical literature, both French and English, especially during the last two years, presents a great deal of discussion of the war tachycardias. Aubertin, in a recent study, emphasizes particularly the point that in most of these tachycardias, in which no lesion can be discovered in the heart, the patient is less adapted for military service than even with organic valvular lesions. This conclusion is also reached by Crouson and Mauger. They show that in a large number of these cases the tachycardias are caused by an infectious, organic, and latent heart lesion which may have antedated the war. According to them, these cases cannot be considered as merely functional. From a military viewpoint those cases, placed in a pathologic category, must be considered as having a lessened availability for war service. Discussions and observations on this subject are also published by Dinet and Lewis and Pende. In the 6 cases of paroxysmal tachycardia reported by Hume, 3 of the soldiers had suffered from attacks more

Product details

  • Paperback | 266 pages
  • 189 x 246 x 14mm | 481g
  • United States
  • English
  • black & white illustrations
  • 123676711X
  • 9781236767110