|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesLungs Congestion Of The
Treatment as below. Read preceding and succeeding articles. ...
The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity
The median line of the body is occupied by the centres of the...
The Digestive Process
After we have eaten our four-color meal--often we do this in ...
The Rational Care Of Self
A WOMAN who had had some weeks of especially difficul...
To Prevent Cholera
_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...
Other Sequels Dropsy &c
Beside the ulceration of glands and deafness, some of the seq...
Where the juices and organs of the body are thoroughly healthy,...
Blood Supply Of
To supply good blood in cases where it is lacking, either from...
Croup More Serious Form
This is caused by an accumulation of material in the windpipe,...
Nose Bleed - Epistaxis
If it arises from fullness of the vessels of the head, with t...
Introduction Of The Bronchoscope
No one should do bronchoscopy until he is able to expose the ...
Bronchoscopy should be done in all cases of chronic pulmonar...
The Unrelenting Boredom Of Fasting
Then there's the unrelenting boredom of fasting. Most people ...
Get a sufficient quantity of good bran in an ordinary washhand...
A Collection Of Gallbladders
Gallbladder cases are rather ho-hum to me; they are quick to ...
Curing With Enemas
It is not wise to continue regular colonics or enemas once a ...
Stokes Adams Treatment
The treatment of true Stokes-Adams disease is unsuccessful. I...
Quiet Vs Chronic Excitement
SOME women live in a chronic state of excitement all ...
Punctures Case X
Mr. Worth's daughter, aged six, was thrown down by a dog and ...
For this, rub the whole back with soap lather (see Lather; Soa...
Stokes Adams Treatment
Source: Disturbances Of The Heart
The treatment of true Stokes-Adams disease is unsuccessful. If
general arteriosclerosis is present, that condition should be
treated. Digitalis would seem almost invariably contraindicated,
although it is of value in extrasystoles without heartblock, or in
conditions which are not Stokes-Adams disease; but if this disease
was considered present, digitalis would probably do harm. Sometimes
strychnin is of benefit.
Atropin has sometimes caused stimulation of the heart to more normal
rapidity. Its benefit is generally only temporary, as most patients
cannot take atropin regularly without having it cause a disagreeable
drying of the throat and skin, a stimulation of the brain, and an
undesired raising of the blood pressure, to say nothing of its
action on the eyes.
The only value of the nitrites is when the blood pressure is high
and the nitrite action is desired on that account.
Coffee or caffein often causes these hearts to become irritable; it
certainly raises the blood pressure, and therefore is not generally
advisable. Both tea and coffee should generally be prohibited.
During the acute faint attack, camphor is one of the best
stimulants. Alcohol may be of benefit. If syphilis is a cause of the
condition, iodids are always valuable. If syphilis is not a cause
and arteriosclerosis is present, small doses of iodid given for a
long period are beneficial, although it may not much reduce the
blood pressure or decrease the plasticity of the blood. Iodid is a
stimulant to the thyroid gland, and therefore it is on this account
An excellent stimulant to the heart is thyroid secretion or thyroid
extract. Theoretically thyroid extracts should be the treatment for
a slow-acting heart. It sometimes seems of benefit to these
patients, but it often causes such nervous excitation and
irritability as to preclude its use. The dose of thyroid for this
purpose would be small, about one-fourth to one-half grain of the
active substance three times a day. To be of any value, the
preparation must be good.
Epinephrin has been shown by Hirtz [Footnote: Hirtz: Arch d. mal. du
coeur, February, 1916] to overcome experimental heart block. It is
not clear just how it acts, but it could well be tried in heart
block when the blood pressure is not too high. A few drops of an
epinephrin solution 1:1,000 may be placed on the tongue, and
repeated three times a day, or from 5 to 10 minims of a weaker
solution may be given hypodermically.
The usual precautions against overeating, overdrinking, severe
physical exercise, sudden movements, overuse of tobacco, etc.,
should all be urged on the patient. The disease is sooner or later
fatal, although the patient may live some years. Death is generally
It is understood that this disease must he separated from the
condition of bradycardia inherent in a few persons who have a slow
pulse throughout their life, without any untoward symptoms.
Next: Cardiovascular Renal Disease
Previous: Stokes Adams Disease Heart Block