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
When the arteriosclerosis has advanced so far that it is easily
recognizable, certain forms of exercise should be absolutely prohibited.
Such are tennis, rowing and swimming. Horseback riding to be allowed
must be strictly supervised. At times this may be an exceedingly violent
exercise. As an out-of-door sport, there is nothing that equals golf.
The physician, knowing the character of the course, and the length of
it, can say to his patient that he may play six, nine, twelve, or
eighteen holes, depending on the patient's condition.
For those who are not able to get out, exercise in the room with the
windows open must take the place of out-of-door sports. Here the use of
chest weights is a most excellent means of keeping up the tone of the
muscles. By adjusting the weights, the exercise may be made light,
medium, or heavy. Every physician should be familiar with the chest
weight exercises. They are not as good as open air exercise but they
undoubtedly have been the means of saving years of life to many patients
with arterial disease.
There comes a time when all forms of exercise must be prohibited on
account of the dyspnea, edema, dizziness, etc. It seems unwise to keep
such a patient in bed, even though the edema be considerable. Once on
his back in bed he becomes weak, and the danger of edema of the lungs or
hypostatic congestion of the bases, with subsequent bronchopneumonia, is
very great.
Such patients may be allowed to sit up in a comfortable chair with the
legs supported straight out on a stool or other chair. The half
reclining position is not easy to assume in bed. Considerable ingenuity
must often be exercised by the physician in making the patient
comfortable without increasing the symptoms from which the patient
suffers following the least amount of exercise. Although such persons
can not exercise actively, they should have passive exercise in the form
of massage, carefully given, so that no injury is done to the rigid
vessels. It is possible to rupture a vessel, the walls of which are
encrusted with lime salts, and full of small aneurysmal dilatations.
Every patient must be watched carefully and measures instituted for the
individual.
=Balneotherapy=
Public-domain text, read in full here on John Shaqi.
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