Medical ArticlesOxalic Acid
Neutralise by chalk or lime water, but not by soda or any alka...
This, in various forms, as brandy, whiskey, rum, wine, cordial...
Flour, And Other Matters Relating To Seeds
One of the largest degradations to human health was caused by...
See Hearing. ...
Nose Bleed - Epistaxis
If it arises from fullness of the vessels of the head, with t...
What Is It That Makes Me So Nervous?
THE two main reasons why women are nervous are, first...
Tea should not be infused longer than three or four minutes, an...
Treatment Of Acute And Subacute Inflammation And Ulceration Of The Esophagus
Bismuth subnitrate in doses of about one gramme, given dry o...
Filling The Boiler Of The Body-engine
The Need of Water in the Body-Engine. If you have ever taken ...
Philosophy Of Disease And Cure
In every part of the animal economy, polar derangements in th...
A most effective preventive and cure for this is the inhaling ...
Malignant Disease Of The Esophagus
Cancer of the esophagus is a more prevalent disease than is c...
The author wishes to caution the reader not to rely merely on...
Perversions In The Guidance Of The Body
SO evident are the various, the numberless perversion...
The Repugnant Bowel
I don't know why, but people of our culture have a deep-seate...
I have worked with many young women with breast cancer; so ma...
The application of the lunar caustic in recent burns or scald...
Ulcers Case Xxvi
The following case occurred in the person of a lady with vari...
This is chiefly observed in children. The most frequently en...
Decannulation After Cure Of Laryngeal Stenosis
In order to train the patient to breathe again through the la...
Signs Of Heart Weakness
Source: Disturbances Of The Heart
It should be remembered that a normal heart may slow to about 60
during sleep, and all nervous acceleration of the pulse may be
differentiated during sleep by the fact that if the heart does not
markedly slow, there is cardiac weakness or some general
disturbance. There is also cardiac weakness if there is a tendency
to yawn or to take long breaths after slight exertions or during
exertion, or if there is a feeling of suffocation and the person
suddenly wants the windows open, or cannot work, even for a few
minutes, in a closed room. If these disturbances are purely
functional, exercise not only may be endured, but will relieve some
nervous heart disturbances, while it will aggravate a real heart
disability. If the heart tends to increase in rapidity on lying
down, or the person cannot breathe well or feels suffocated with one
ordinary pillow, the heart shows more or less weakness.
Extrasystoles are due to abnormal irritability of the heart muscle,
and may or may not be noted by the patient. If they are noted, and
he complains of the condition, the prognosis is better than though
he does not note them.
It has long been known that asthma, emphysema, whooping cough, and
prolonged bronchitis with hard coughing will dilate the heart. It
has not been recognized until recently, as shown by Guthrie,
[Footnote: Guthrie, J. B.: Cough Dilatation Time a Measure of Heart
Function, The Journal. A. M. A., Jan. 3, 1914, p. 30.] that even one
attack of more or less hard coughing will temporarily enlarge the
heart. From these slight occurrences, however, the heart quickly
returns to its normal size; but if the coughing is frequently
repeated, the dilatation is more prolonged. This emphasizes the
necessity of supporting the heart in serious pulmonary conditions,
and also the necessity of modifying the intensity of the cough by
In deciding that a heart is enlarged by noting the apex beat,
percussion dulness, and by fluoroscopy, it should be remembered that
the apex beat may be several centimeters to the left from the actual
normal point, and yet the heart not be enlarged.
The necessity of protecting the heart in acute infections, and the
seriousness to the heart of infections are emphasized by the present
knowledge that tonsillitis, acute or chronic, and mouth and nose
infections of all kinds can injure the heart muscle. In probably
nearly every case of diphtheria, unless of the mildest type, there
is some myocardial involvement, even if not more than 25 percent of
such cases show clinical symptoms of such heart injury. Tuberculosis
of different parts of the body also, sooner or later, injures the
heart; and the effect of syphilis on the heart is now well
Next: Symptoms And Signs Of Cardiac Disturbance
Previous: Suggestions For The Control Of Athletics