Gynecological And Obstetrical Tuberculosis

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Gynecological And Obstetrical Tuberculosis
Charles Camblos Norris
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Heart. It was formerly believed that, as the result of pregnancy, the heart became hypertrophied. Stengel and Stanton 22 showed that this was not the case, and that the increase in dullness to the left was not the result of hypertrophy of the left ventricle, or of any special increase in work, but that it was caused by the upward and outward displacement of the organ. These observers state, how- ever, that in labor there is probably some dilatation of the right ven- tricle, but they believe tha...t there is no material change in the blood pres- sure prior to or following labor. De Lee 16 asserts that in 25 per cent of cases a systolic murmur is present over the base of the heart. Norris 23 is of the opinion that the displacement of the heart tends to cause a kink- ing of the large vessels, thus adding to the work demanded of that organ. Wiessner 24 believes that this explains the occurrence of accidental pul- monary murmurs. Norris states that in normal pregnancy the blood pressure rarely exceeds 120 mm.

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