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This symptom or affection, (if it can be classed as a disease...
The immediate conditions to meet are the rapid fluttering hea...
Entirely different treatment from the above is needed for such...
Limbs Disjointed Or Sprained
In the case of an overstretch, or sprain, which has resulted i...
Palpitation Of The Heart
This is commonly a symptomatic or sympathetic affection--rare...
Chlorosis Green Sickness
This is a disease mostly or entirely peculiar to young women ...
The Effect Of Drugs On Venous Blood Pressure
Capps and Matthews [Footnote: Capps, J. A., and Matthews, S. ...
The Rational Care Of Self
A WOMAN who had had some weeks of especially difficul...
Medicinal Runic Inscriptions
The discovery of the script of the ancient Germans, suppose...
ONCE met a man who had to do an important piece of sc...
Avoidance of the causes of disease requires some idea of the d...
Technic Of Specular Esophagoscopy
Recumbent patient. Boyce position. The larynx is to be expos...
On The Adherent Eschar
It appears scarcely necessary to describe the immediate and w...
Where cold is easily "taken," it is the skin which is defectiv...
Sprains Or Racks
A sprain is usually the result of some involuntary stress comi...
See Urinary Troubles. ...
It is customary to locate esophageal lesions by denoting the...
This is a matter of great importance to the sick. Nor is anyth...
The Surgical Dissection Of The First Second Third And Fourth Layers Of The Inguinal Region In Connexion With Those Of The Thigh
The common integument or first layer of the inguino-femoral r...
Cancer In Foot
We have noted one case in which "Cancerous Gangrene" in the fo...
Auricular Fibrillation Prognosis
Source: Disturbances Of The Heart
The prognosis depends on the condition of the myocardium of the
vagus. If this muscle is intact, and there is no pathologic
condition in the sinus node (which can be proved by the successful
results of treatment), the removal of all toxins that could increase
the activity of the heart, and the administration of digitalis,
which will slow the heart by stimulating the pneumogastric control
of the heart, will produce a cure, temporary, if not permanent.
Although a patient with auricular fibrillation may have been
incapacitated by this heart activity, he may not yet have dilated
ventricles, and the digitalis need perhaps not be long continued. If
on account of some heart strain or some unaccountable cause the
fibrillation recurs, he of course must again receive the digitalis.
If the auricular fibrillation is superimposed, or is followed by
dilated ventricles and decompensation, the prognosis is bad,
although the condition may be improved. In other words, auricular
fibrillation added to these conditions is serious, but still, many
times a patient may be greatly improved by rest, digitalis, careful
diet, proper care of the bowels, etc. If the fibrillation occurs
with or was apparently caused by the dilatation of the ventricles,
the prognosis of improvement may be good. If the dilatation of the
ventricles occurs following auricular fibrillation, the prognosis is
White [Footnote: White: Boston Med. and Surg. Jour., Dec. 2, 1915.]
after studying 200 heart cases, finds that auricular fibrillation
and alternating pulse, as well as heart block, are more frequent in
men than in women, and both auricular fibrillation and alternating
pulse are more apt to occur after 50 years of age than before.
Auricular fibrillation may occur in hearts which are suffering from
valvular lesions, especially mitral stenosis, and may occur in
syphilitic hearts, in various sclerotic conditions of the heart, and
Though disputed, it seems probable that fibrillation may be caused
by the excessive use of tea, coffee and tobacco. Paroxysmal
tachycardias are certainly caused by these substances, and the
conditions of auricular fibrillation and auricular flutter may be
found frequently present if such hearts are carefully examined with
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