VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Endocarditis

It should be understood that especially in acute conditions...

From The Hygienic Dictionary 2

Toxemia. [1] "Toxemia is the basic cause of all so-called dise...

Rotation Forceps

It is sometimes desired to make traction on an irregularly s...

Foreign Bodies In The Air And Food Passages

The air and food passages may be invaded by any foreign subst...

Throat Sore

The first question in any case of sore throat, is, What is the...

List Of Instruments

The following list has been compiled as a convenient basis f...

Quacks And Quackery

Quackery and the love of being quacked, are in human nat...

The Future Of Life Extension

I beg the readers indulgence for a bit of futurology about wh...

Habit And Nervous Strain

PEOPLE form habits which cause nervous strain. When t...

Contraction Of Sinews

This often occurs at the knee, bending the joint so that the p...

Stage I Entering The Right Pyriform Sinus

The operator standing (as in Fig. 66), inserts the esophagos...

Bronchoscopic And Esophagoscopic Grasping Forceps

are of the tubular type, that is, a stylet carrying the jaws...

Human Dust

WHEN we face the matter squarely and give it careful ...

Chills

(1) Nerve or imaginary chills. These are feelings of cold, whe...

Chronic Endocarditis

It is not easy to decide just whew all acute endocarditis has...

Pleuroscopy

Foreign bodies in the pleural cavity should be immediately re...

Rhus Tox

applied, with water at the strength of thirty drops of the _t...

The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi

Annular Edema Such objects as marbles, pebbles, corks, etc.,...

Philosophy Of Disease And Cure

In every part of the animal economy, polar derangements in th...

Fainting

Fatigue, excessive heat, fright, loss of blood, hunger, etc., ...



Stokes Adams Treatment





Category: Uncategorized
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
valuable.

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
sudden.

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



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1526