Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
Possibly the chief conditions that may be confused with some of the
results of arteriosclerosis are pseudo angina pectoris which may be
mistaken for true angina pectoris, and ulcer of the stomach,
appendicitis (?) or other inflammatory abdominal condition which may be
mistaken for angina abdominalis.
Differential tables are sometimes of value in fixing the chief points of
difference graphically.
=Pseudo angina pectoris=.
Etiology rather certain; hysteria, neurasthenia, toxic agents, and
reflex irritations.
No age is exempt. Usually in young people, chiefly females.
Paroxysms of pain occur spontaneously, are periodic and often
nocturnal.
Pain, while severe, is diffuse and sensation is of distension of
heart. No sense of real anguish.
Duration may be an hour or more.
Restlessness and emotional symptoms of causative conditions are
prominent.
Usually no increase in arterial tension.
Prognosis favorable.
=True angina pectoris=.
Etiology not certain but almost always associated with
arteriosclerosis of the coronary arteries and also aortic
regurgitation.
Age is important factor. Rare before forty, and males usually
affected.
Paroxysms brought on by overexertions or excessive mental emotion.
Rarely periodic.
Intense pain, radiating down arm; heart felt as in a vise. Sense of
anguish and impending dissolution.
Duration from few seconds to several minutes.
Silent and fixed attitude, rigidity rather than restlessness.
Arterial tension is as a rule increased.
Prognosis most unfavorable.
In differentiating between ulcer of the stomach and angina abdominalis
the following points may be of service:
=Ulcer=.
Occurs as a rule in young persons, more often females.
Pain of boring character increased by food and by certain positions
with food in stomach. Felt through to left of spine.
Occult blood found in stools.
Considerable anemia apt to be present.
Arterial tension usually low.
=Angina abdominalis=.
Only occurs in adults over forty who have been heavy eaters and
drinkers, mostly males.
Pain cramp-like, diffuse, although more localized in epigastrium.
Not necessarily any connection with food.
No occult blood in stools.
Anemia more often absent.
Arterial tension high. (Splanchnic sclerosis.)
=Diseases in Which Arteriosclerosis Is Commonly Found=
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