A Treatise on Diseases of the Heart

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Fannin, 1857 - Heart - 623 pages
 

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Page 34 - ... enlarge with the natural growth of the heart before birth, during childhood and youth, until the heart has attained its full size in the adult. 3. That the ganglia and nerves of the heart enlarge, like those of the gravid uterus, when the walls of the ventricles are affected with hypertrophy.
Page 60 - The impulse is synchronous with, and caused by, the ventricular contraction, — and when felt externally, arises from the striking of the apex of the heart against the thorax. 2d. The expulsion of the blood from the ventricles is effected by an approximation of the sides of the heart only, and not by a contraction of the apex towards the base ; during the systole the heart performs a spiral movement, and becomes elongated.
Page 121 - ... region, while the ear is applied to the other end: percussion is then made by another person from the point near where the cylinder is applied towards the limits of the heart in every direction. So long as percussion is made over the body of the heart, a distinct sharp shock is felt directly in the ear; but as soon as the limits of the heart are passed, this sharp shock immediately ceases, even in passing from one solid organ to another in contact with it, as from the heart to the liver
Page 90 - ... or to the shock of the column of blood in the aorta and pulmonary -artery, which recoils upon these valves at the moment of the ventricular diastole. This theory is supposed to be proved " by the second sound of the heart being loudest over the sigmoid and semilunar valves, and a little above them" — " by the sound ceasing in experiments made upon animdls, when the reflux of the blood upon the semilun»r valves was prevented by compressing the arterial orifices with the fingers...
Page 24 - These strong, slender fibres, connected with or proceeding from the inner surface, accompany and surround all the blood-vessels and nerves, and they are interlaced together, so as to form a peculiar stroma — if it may be so termed — of considerable thickness, between the fascia and all the various structures beneath, which it invests and binds together in the strongest possible manner. These fibres form a complete sheath around all the arteries, veins, and nerves, on the surface of the heart,...
Page 443 - SYMPTOMS. — The patient experiences a violent pain in the region of the heart, with anxiety, preceded or attended by rigors, chills, or tremblings of the whole frame. To these succeed increased heat about the praecordia, or in the trunk, while the extremities and face are cold, and the whole surface is covered with perspiration, which is cold on the extremities. The pain is concentrated in the situation of the heart, is lacerating or rending, accompanied by the utmost agitation and expression of...
Page 302 - Transactions of a Society for the Improvement of Medical and Chirurgical Knowledge.
Page 60 - Cruveilhier,t as observed by him in. a case of ectopia of the heart-, in an infaut which lived for about fourteen hours. " During their systole the ventricles become pale, their surface wrinkled, the superficial veins swollen, and the spiral fibres which form the apex of the heart become more evident. At the same time the ventricles diminish in all their diameters, the appearance of shortening being most perceptible in the vertical diameter." " During the systole of the ventricles, the apex of the...
Page 302 - Dr. David Pitcairn, about the year 1788, began to remark, that persons subject to rheumatism were attacked more frequently than others, with symptoms of an organic disease of the heart. Subsequent experience having confirmed the truth of this observation, he concluded, that these two diseases often depend upon a common cause, and in such instances, therefore, called the latter disease rheumatism of the heart.
Page 59 - ... right ventricle. A dull space is thus formed, which can be mapped out by careful and light percussion, and it will be found that its base is level with the cartilage of the sixth rib ; its right boundary a vertical line through the centre of the sternum, and its left boundary is an oblique line through the cartilages of the fifth and sixth ribs on the left side. The lower boundary corresponds with the lower border of the right ventricle. The heart, as a whole, extends vertically from the second...

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