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
A serum treatment given intravenously, hypodermically, by the mouth,
and by the rectum was inaugurated some years ago (1901 and 1902).
and is known as the "Trunecek serum." This first consisted of sodium
sulphate, sodium chlorid, sodium phosphate, sodium bicarbonate and
potassium sulphate in water in such amounts as to stimulate the
blood plasma. Later small amounts of calcium and magnesium phosphate
were added to the solution to be injected. These injections seemed
to lower the blood pressure, but it is doubtful whether they have
any greater ability than a proper regulation of the diet to inhibit
arteriosclerosis. At any rate, these injections are but seldom used.
An important means of inhibiting disturbance from any
arteriosclerosis which should be employed when possible is the
climate treatment. Warm, equable climates, in which there are no
sudden radical changes, are advantageous when coronary sclerosis is
suspected, and warm climates are valuable in promoting the
peripheral circulation and lowering the blood pressure in
arteriosclerosis. These patients always require more heat than
normal persons, always feel the cold severely, and their hearts
always have much less disturbance, fewer irregularities and fewer
attacks of pain during warm weather than during cold weather.
Simple hydrotherapeutic measures are also necessary for these
patients, but baths should not be used to the point of causing
debility and prostration. Applications of cold water in any form are
generally inadvisable. Very hot baths are also inadvisable; but
pleasantly warm baths, taken at such frequency as found to be of
benefit to the individual, relax the peripheral circulation relieve
the tension of the internal vessels, lessen the work of the heart,
and promote healthy secretion of the skin, the skin of
arteriosclerotic patients often being dry. This dry skin is
especially frequent if there is any kidney insufficiency, which so
soon and so readily becomes a part of the arteriosclerotic process.
If the patient is old, small doses of alcohol may act
physiologically for good. In these arteriosclerotic patients the
activities of alcohol should be considered from the drug point of
view, not from that of all intoxicating beverage. Other drugs are
considered in the discussion of hypertension.
If the heart actually fails, the treatment becomes that of chronic
myocarditis and of dilatation.
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