Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood PressureOsborne, Oliver T. (Oliver Thomas)
Science
Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood Pressure
Osborne, Oliver T. (Oliver Thomas)
Blood pressure; Heart -- Diseases
The treatment of a suspected coronary sclerosis is the same as that
of general arteriosclerosis--primarily the elimination of anything
which tends to cause high tension or to produce chronic
endarteritis. When either general or local arteriosclerosis is
present, the treatment which should be inaugurated comprises
anything which would tend to inhibit the endarteritis and the
classification--necessary periods of rest, the interdiction of all
physical effort or physical strain, and the regulation of the diet,
digestion and elimination. Perhaps there is no greater preventive of
the advance of this disease than a diet considerably less than would
be suitable for the same person when in perfect health and at his
regular work. The amount of protein especially should be reduced,
and the meal hours should be regular. Ordinarily all tea, coffee and
tobacco should be forbidden, and alcohol should be allowed only to
the aged, if allowed at all.
It has long been considered that iodin would inhibit abnormal
connective tissue growth. Iodin most readily reaches the blood as
sodium or potassium iodid. Large amounts of iodin are not needed to
saturate the requirements of the system for iodin, from 0.1 to 0.2
gm. (1 1/2 to 3 grains) preferably of sodium iodid, twice a day,
after meals given with plenty of water, being sufficient; but it
should be continued in one or two doses a day not only for weeks,
but for months. Whether this iodid or iodin acts per se, or acts by
stimulating the thyroid gland to increased activity and therefore to
more normal activity, so that it is the thyroid secretion which is
of benefit, it is difficult to decide. In view of the fact that in
advanced years the thyroid is always subsecreting, and after the
very diseases which cause arteriosclerosis or during the diseases
which cause arterinsclernsis the thyroid is generally subsecreting,
it would appear that the value of iodin is in its effect in
stimulating the thyroid gland.
If a small amount of thyroid secretion is evidenced by other
symptoms, thyroid extract should be given. The dose need not be
large, and should be small, but should be given for a considerable
length of time. If the patient seems to be improving on small doses
of iodid, however, and the thyroid is supposed not to be very
deficient, it is better not to administer thyroid extract, unless
the patient is obese.
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