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
By a small addition of vegetable to the protein diet, the lives of the
animals were prolonged at will. With this modification of the
experiment, the findings in the vessel walls were noticeably altered.
The changes affected chiefly the intima, to less degree the media, and
histologically were very much like human intimal disease.
I have been unable to produce the slightest arterial lesions in rabbits
by intravenous injections of lead. Frothingham had no success feeding
animals with lead. In a study of autopsy material from persons up to 40
years, who died of infectious disease, he found changes in the arteries
of those who had succumbed to infection with the pus cocci or to very
severe infectious disease. These changes were, however, localized, and
were not like those of the general diffuse arteriosclerosis.
Adler has recently reported experiments on dogs, to which he fed or
injected intravenously various substances supposed to induce
arteriosclerotic changes. He was unable to find any arterial lesions
comparable to human arteriosclerosis.
The difficulty experienced by experimenters is not surprising when the
character of the changes is considered. Arteriosclerosis is not an acute
process. In its very nature, it is of months' or years' standing, the
specific changes are of slow growth, and more in the nature of
degeneration. It would seem that a very careful study of the histories
of those with arteriosclerosis and a final examination upon the actual
tissue might eventually give us data for the etiology.
The most frequent site of disease in these experimental lesions is the
thoracic aorta, and it is there also that the most severe changes are
seen. While the toxic action is felt in the vessels all over the body,
the lesions are, as a rule, scattered and small. The thoracic aorta
stands the brunt of the high pressure, and this combined with the
poisonous action of the drug or drugs, results in the formation of a
fusiform aneurysmal dilatation which stops at the diaphragmatic opening.
The aortic opening in the diaphragm seems to act as a flood gate,
allowing only a certain amount of blood to flow through, and thus the
abdominal aorta is protected to a great extent from the deleterious
effects of increased pressure. Focal degenerative lesions are, however,
found in the abdominal aorta.
Changes somewhat analogous to those found in the human aorta as the
result of intimal proliferations, are produced in animals by the toxins
of the typhoid bacillus and the Streptococcus pyogenes. Clinically,
Thayer and Brush have found that the arteries of those who have
recovered from an attack of typhoid fever are more palpable than the
arteries of average individuals of equal age who have never had the
disease.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account