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
The opinion that arteriosclerosis is due in large part to poisoning by
end products or by-products of protein digestion is now receiving much
support. Experiments on dogs and rabbits have lent some confirmation to
chemical observations. It has been shown that dogs fed for a long time
on putrefied meat developed inflammation and degeneration of the
adventitia and media, with hyperplasia and calcification of the intima
of many arteries. In the pulmonary and carotid arteries, in the vena
cavas and myocardium, there were extensive necroses and hyaline
degeneration. Moreover, injections of sodium urate and ergot caused
necroses in the muscularis and elastica of the aorta, pulmonary artery,
vena cavas inferior and heart muscle, but there was no calcification.
Guinea pigs which were fed indol in small doses by the mouth over a long
period showed atheromatous degeneration of the aorta.
=Infectious Diseases=
As more study has been given to the arteries in persons who have died of
the acute infectious diseases, more has come to light concerning the
effects of the toxins of these diseases on the vessel walls. In the
arteries of children who have died of measles, scarlet fever,
diphtheria, cerebrospinal meningitis, etc., degenerative changes in the
arteries occur, modified only by the length of time that the toxins have
acted.
Thayer has shown that the arteries of those who have passed through an
attack of moderately severe or severe typhoid fever are as a rule more
readily palpable than are the vessels of persons of corresponding years
who have never had the disease. Clinically the typhoid toxin appears to
cause the early production of arteriosclerosis. The changes in the
arteries occur for the most part, and always earlier, in the peripheral
arteries, and the media is chiefly affected. Minute yellowish patches
are found on the aorta, carotids, and coronaries. In persons who have
passed through an attack of one of the fevers, and have later died from
some other cause, regenerative changes are sometimes found to have taken
place in the arteries, consisting of an ingrowth of elastic fibers from
the intact adventitia to the diseased media.
That there are some other factors than the infectious disease which are
concerned in the production of arterial changes seems evident from a
study[14] made recently among a group of almshouse inmates ranging in
age from 38 to 90 years. The study included 500 persons of both sexes.
Careful histories were taken to determine the presence of antecedent
infectious disease. The radial artery was palpated to determine the
presence of sclerosis. Among the cases giving a history of one
infectious disease the following table gives the results:
Public-domain text, read in full here on John Shaqi.
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