A Treatise On the Practice of Medicine, for the Use of Students And Practioners

Cover A Treatise On the Practice of Medicine, for the Use of Students And Practioners
A Treatise On the Practice of Medicine, for the Use of Students And Practioners
Roberts Bartholow
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Digitized by VjOOQIC 250 DISEASES OP THE HEART.
Dilatation, — Simple dilatation of the heart occurs in delicate con- stitutions, especially of growing youths, subjected to over-exartdon. This has been observed in armies on a large scale, and by civil physieiaiu as well* Maclean f has published observations on this point made in the English service ; Seitz and others in Glermany ; but Da Costa was the first to set the subject in its true light, by studies in our hospitids during the late rebelli
...on, and {Nreoeded all other investigators in this line.
The right ventricle, being much feebler than the left, is more liaUe to suffer dilatation. This condition results from the increase of pres- sure due Jto insufficiency of the semilunar and tricuspid valves, and pulmonary lesions which hinder the circulation in the pulmonary capil- laries, such as emphysema, chronic bronchial catarrh, chronic intersti- tial pneumonia, and tubercular and caseous infiltration. On the left side the most frequent cause is aortic obstruction and insufficiency ; but obstruction rather than insufficiency is more certain to produce the dilatation.


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