Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
The value of arsenic in most cases of broken wind (heaves) has suggested
the inquiry whether it does not operate directly on the heart. Leblanc
who advances this query might have quoted in explanation the known power
of arsenic to retard and arrest tissue change, with its natural
consequences, the diminished amount of effete matter thrown into the
blood in any given time, and the lessened necessity for an active
circulation to supply any great waste of structure. It may benefit such
cases in this way but does so probably to a far greater extent by an
influence on the nervous function analogous to its action in neuralgia
and other purely nervous disorders. Dilatation of the heart which
usually exists in _heaves_ is usually benefited by tonics which like
arsenic are destitute of stimulating properties.
ATROPHY.
Simple, eccentric, concentric. Usually eccentric. Causes, effusion in
pericardium, obstruction of coronary arteries, by false membranes,
etc., general inanition. Symptoms, beats weak, sounds loud, clear,
decreased area of dulness on percussion, pulse slow, weak, under
excitement unequal, irregular, intermittent with palpitation, dropsy
of limbs, etc., murmur with 1st sound. Treatment only in early stages
by removal of the cause.
The loss of substance in the muscular walls of the heart is either
_simple_ when there is no change in the capacity of its different
cavities:—=eccentric= when the chambers of the heart are enlarged; or
=concentric= when these chambers are reduced in size. Like hypertrophy
it may affect the walls of one chamber to the exclusion of the others.
Atrophy is much less frequent in the lower animals than hypertrophy and
in nearly all cases on record it was associated with dilatation.
The _causes_ are not always very evident. Effusion into the pericardium
is one of the most frequent, the compression of the heart impairing its
nutrition and decreasing its size. Especially is it hurtful when several
layers of false membranes deposited on the surface of the heart become
organized, preventing its sufficient dilatation and compressing its
nutrient bloodvessels. A case of this kind in a dog occurred to Leblanc;
the right auriculo-ventricular opening was surrounded by thick organized
layers of false membranes which by their contraction had largely
diminished the opening and even pressed on the coronary artery cutting
off to a great extent the supply of blood to the walls of the ventricle.
Another alleged cause is a prolonged insufficient nourishment to the
entire body. Leblanc has also observed this in dogs the subjects of long
continued wasting maladies.
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