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Medical ArticlesHead Sounds InAs the result and accompaniment of deafness these are sometime... Damp Beds An ordinary bed which has not been slept in for some weeks, al... Animal Magnetism Although curative attributes were ascribed to the magnet in... Papillomata Of The Larynx In Children Of all benign growths in the larynx papilloma is the most fre... Drinks Refreshing This is a matter of great importance to the sick. Nor is anyth... Neck Stiff For this, rub the whole back with soap lather (see Lather; Soa... Beef Tea It is well to bear in mind that there is scarcely any nourishm... Cancer In Face Treat as far as possible as recommended for breast cancer. ... Breast Sore Nipples On Take a little warm vinegar or weak acid (see Acetic Acid). Bat... Cuprum Aceticum (_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers... The Glands In The Skin Sweat Glands. Like all the pavement (epithelial) surfaces of ... The Frightening Heart Heart disease is one of the major causes of death among North... Pseudo-angina While this name is more or less unfortunate, it has long been... Paracelsus THEOPHRASTUS BOMBASTUS VON HOHENHEIM, commonly known as Parac... Tetanus This is substantially the same thing as trismus, except that ... Endoscopy In Malignant Disease Of The Larynx The general surgical rule applying to individuals past middle... Symptomatology And Treatment Of Chronic Valvular Lesions Before discussing the treatment of broken compensation in gen... Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation When the patient is through the first part of the period of ... Tricuspid Insufficiency This rarely, if ever, occurs alone; it is generally a sequenc... Ulceration Of The Esophagus Superficial erosions of the esophagus are by no means an unco... |
Precautions To Be ObservedCategory: Uncategorized Source: Disturbances Of The Heart As long as compensation is complete, there are no medication and physical treatment necessary for the damaged heart. The patient, however, should be told of his disability, and restrictions in his habits and life should be urged on him. The most important are that all strenuous physical exercise should be interdicted; competitive athletics should be absolutely prohibited; prolonged muscular effort must never be attempted, whether running, rowing, wrestling, bicycle riding, carrying a heavy weight upstairs or overlifting in any form. The patient should be taught that he should never rush upstairs, and that he should never run rapidly for a car or a train or for any other reason; he should not pump up a tire, or repeatedly attempt to crank a refractory engine; even the prolonged tension of steering a car for a long distance is inadvisable. He should be told that after a large meal he is less capacitated for exertion than a man who has not a damaged heart. It is better if he drinks no tea or coffee; it is much better if he absolutely refrains from tobacco and alcohol. Prolonged mental worry, business frets and mental depression are all injurious to his heart. Anything which seriously excites him, whether anger or a stimulating drug, is harmful. Any disease which he may acquire, especially lung disturbances, as pneumonia or even a serious cough, requires that he take better care of himself and be more carefully treated and take more rest in bed than a patient who has not a damaged heart. Anything which raises the blood pressure is of course more serious for his heart than for a perfect heart; therefore drinking large amounts of liquid, even water, is inadvisable. It simply means so much more work for the heart to do. Such patients should rarely be given any drug that causes cardiac debility, and should never take one without advice. This applies to all the coal-tar drugs, acetylsalicylic acid (aspirin), etc. One other fact should be impressed on the person with a valvular lesion and compensation, and that is that he has but little, if any, reserve circulatory power. While he is in apparently perfect health, it takes little circulatory strain to push his heart to the point of danger or insufficiency. As nothing keeps this reserve so good or increases it more than rest, he should expect to have a restful day at least once a week, and a good rest of at least two or three weeks once or twice a year. A patient with these restrictions may live for years with a serious valvular defect and may die of some intercurrent disease which has nothing to do with the circulatory system. It is easily recognizable that as the majority of acute lesions of the valves occur in children, it is impossible to prevent them from taking more or less strenuous exercise, and this is probably the reason that we have so many serious broken compensations during youth or early adolescence. As referred to under the subject of myocarditis, many symptoms for which a patient consults his physician are indefinite and intangible, though due to cardiac weakness. If a patient with a damaged heart has a sudden dilatation, of course his symptoms are so serious that the physician is immediately summoned. If, however, he has a slowly developing insufficiency of the heart muscle, his first symptoms are more or less indefinite cardiac pains, slight shortness of breath, slight attacks of palpitation, a dry, tickling, short cough occurring after the least exertion, some digestive disturbances, often sluggishness of the bowels, gastric flatulence, possibly nosebleeds, and sooner or later some edema of the lower extremities at the end of the day. Next: Decompensation Previous: Pathologic Physiology
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