ISSN:1784-3286    

DOI:10.1080/17843286.1960.11717613

出版商:Taylor&Francis    

年代:1960

数据来源: Taylor

摘要:

SummaryWidely variable patterns of the natural history in coronary heart disease were found in forty cases, which were followed during a period of six to eighteen years. The variations in intensity of anginal symptoms were demonstrated graphically by deepening of colour; at the same time hospitalization and electrocardiographic examinations were recorded.The conclusion was drawn that nearly all patients who were followed for several years passed through one or more periods of virtual absence of symptoms, but also experienced at some time or other one or more attacks of myocardial infarction. Even in advanced age the survival period after an infarction may be very long. To our surprise it was also found that without discernible cause an apparently stable and prolonged period of severe symptoms may be followed by a sudden, long lasting clinical improvement. This finding is especially important to bear in mind while assessing surgical results in coronary heart disease.

ISSN:1784-3286    

DOI:10.1080/17843286.1960.11717614

出版商:Taylor&Francis    

年代:1960

数据来源: Taylor

摘要:

SummaryBilateral ligation of the internal mammary arteries was performed on 35 patients. Most of them had their first heart attack many years ago. In those patients the ECG as well as the clinical symptoms were stabilized leaving a slight cardiac insufficiency.Results may be recorded as follows : excellent : 23 %; fair or good : 51 %; no change : 26 %.The method appears as valuable. The results do not seem to originate in a psychological action, but seem to depend on the effect of the anastomosis between the coronary system and the pericardio-phrenic branches of the internal mammary arteries, the existence of which was experimentally demonstrated.Even if the amount of blood provided by this anastomotic route does not exceed one or even one half ml blood, it may help to decrease the myocardic ischaemy as it is shown by the coronarographic studies that the whole arterial tree has a capacity not exceeding 4 to 6 ml.This explanation, though still hypothetical, seems to be the more plan sible in the present state of the question.

ISSN:1784-3286    

DOI:10.1080/17843286.1960.11717615

出版商:Taylor&Francis    

年代:1960

数据来源: Taylor

摘要:

SummaryMyocardic revascularization was attempted using a wide variety of methods. In fact, most of those methods act by enlarging the normally existing intercoronary anastomosis, this as a result of a mechanical irritation of the heart surface.Such a result can be easily obtained by a minor operation, i.e. the introduction of talcum powder into the pericardium.The ligation of the mammary arteries is an equally minor operation, which may be performed even on poor risk patients. Its effectiveness is far from being demonstrated experimentally, whereas clinical records seem to be more promising. Further attempts should therefore be justified.

ISSN:1784-3286    

DOI:10.1080/17843286.1960.11717616

出版商:Taylor&Francis    

年代:1960

数据来源: Taylor

摘要:

SummaryThirty severe cases of asthma were studied after they had been under treatment with cortisone during at least 24 consecutive months. All of these patients had derived considerable benefit from this therapy.No appreciable abnormality has been observed concerning the blood pressure, the electrolyte balance of the blood, the metabolism of the carbohydrates and of the phosphorus. No severe disorder of the digestive tract is to be reported and no accident from infection or disease of the vessels occurred during the period of observation.Side effects which may be ascribed to the therapy include : 4 cases of osteoporosis of the spine, 8 cases of moon facing of which 7 had a«buffalo hump», 3 cases with an important increase in body weight, 1 case of notable psychic instability.In a few patients, the calcium metabolism probably was on the deficitside.The functions of the cortex of the adrenals were studied by means of two tests using the eosinopenia induced either by intramuscular ACTH (Thorn's test) or by intravenous insulin. The latter technique was found to be more accurate than the former.Of the 20 cases thus tested, 5, i.e. 25 %, showed evidence of a reduction in adrenal cortical activity.

ISSN:1784-3286    

DOI:10.1080/17843286.1960.11717617

出版商:Taylor&Francis    

年代:1960

数据来源: Taylor