The Transactions of the Medico-Chirurgical Society of Edinburgh
The Transactions of the Medico-Chirurgical Society of Edinburgh
Medico-Chirurgical Society of Edinburgh
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Of the general cases in hospital one might dilate for hours, but there is only one more point which might be brought before the Society to-night. It is the condition which we came to describe as the " soldier's heart." A large number of these cases came under observation. It was found in men who had been engaged with arduous marching for months on end. There was no history pointing to a previous valvular defect, and no anterio-sclerosis or kidney lesion. There was complaint of shortness of brea...th and general weakness. The area of cardiac dulness was increased laterally, especially on the right side. There was a systolic murmur present, with its point of differential maximum intensity at the tricuspid area, a venous pulse in the neck, and apparently no mitral lesion. I take it that there was dilatation of the right side of the heart from over strain, and consequent tricuspid regurgitation. I hope that I have not unduly trespassed on the time of the Society, but I feel that some of the points noted are well worthy of thought and discussion, and I hope to gain informa- tion by bringing them up to-night.
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