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Treatment Of Pseudo-anginas
Source: Disturbances Of The Heart
The treatment of these pseudo-angibas depends, of course, on the
diagnosis of the cause, and the cause should be eliminated or
modified. If the heart shows real disturbance from this reflex
cause, the treatment aimed toward it depends on whether the heart
action is weak or strong and the circulation poor or good. If the
circulation is poor, digitalis in small doses may be needed, either
5 drops of an active tincture twice a day, or 8 or 10 drops once a
day. If digitalis is not indicated, strophanthus sometimes is
valuable. While strophanthus has been shown not to be a real cardiac
tonic like digitalis, still there seems to be a nervous sedative
action when it is given by the mouth, and it often does good in
these cases. The dose is 5 drops of the tincture, in water, three
times a day, after meals. Strychnin in small doses may be needed,
but in these patients, who are generally nervous, it is usually
better not to give it.
One of the best sedatives to a heart that is irregular in its action
and not acting strongly is lime; a good way to administer it is in
the form of calcium lactate, and the dose is 0.3 gm. (5 grains), in
powder or capsule, three times a day, after meals.
If the circulation is good and the heart is strong, and yet these
irregular pains and irregular contractions occur, the bromids act
favorably and successfully. This is probably on account of their
ability to quiet the central nervous system, to quiet and soothe the
irritability of the heart, and to relax the peripheral blood
vessels. The dose should be from 0.5 to 1 gm. (7 1/2 to 15 grains),
in water, three times a day, after meals. It is not necessary or
advisable to continue the bromid very long. Whatever general tonic
or eliminative treatment the patient, requires should be given. The
value of hydrotherapy, massage and graded exercise should not be
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