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TRICUSPID STENOSIS (NARROWING)

Categories: Circulatory System

Rare except in cases from the time of
birth.



Recovery from the valvular disease, depends upon the degree of

compensation maintained and is best when this is acquired spontaneously.

This is to be judged by the heart action. The prognosis is poor in

children. It is better in women than in men.



Treatment (a) While Compensated. Medicine is not necessary at this

period. The patient should l
ad a quiet, regulated, orderly life, free

from excitement and worry; and the risk of certain death makes it

necessary that those suffering from a disease of the aorta should be

especially warned against over-exertion and hurry. An ordinary healthy

diet in moderate quantities should be taken, tobacco and stimulants not

allowed at all.



The feelings of the patient must control the amount of exercise; so long

as no heart distress or palpitation follows, moderate exercise will be of

great help. A daily bath is good. No hot baths should be taken and a

Turkish bath absolutely prohibited. For the full-blooded, fleshy patient

an occasional dose of salts should be taken. Patients with a valvular

trouble should not go into any very high altitudes; over-exertion, mental

worry and poor digestion are harmful.



(b) The stage of broken compensation. Rest. Disturbed compensation may be

completely restored by rest of the body. In many cases with swelling of

the ankles, moderate dilatation of the heart and irregularity of the

pulse, the rest in bed, a few doses of the compound tincture of cardamon

and a saline purge suffice within a week or ten days to restore the

compensation. For medicine a doctor must be consulted as each individual

case must be treated according to its peculiar symptoms.



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