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
Dilatation of the right cavities of the heart is one of the most common
heart diseases of the horse. It is an almost constant condition in
advanced broken wind, and is a frequent concomitant of hypertrophy and
an occasional one of atrophy of the heart. Its usual direct cause is
some obstacle to the free escape of blood from the cavity affected. Thus
in broken wind the difficulty of the circulation through the lungs
causes accumulation in the pulmonary artery and right ventricle of the
heart, the walls of which are distended because of the unwonted internal
pressure. When the dilatation of this ventricle reaches a certain stage
the auriculo-ventricular opening is equally widened, the valves become
insufficient to close it and the right auricle and venæ cavæ participate
in turn in the internal pressure and dilatation. The right ventricle is
more often affected than the left, because of the greater frequency of
obstruction in the circulation through the lungs than in that through
the general system, and because of the thinness of its walls which more
readily give way under internal pressure. Dilatation may result from
disease of the great arteries, from diminution of their calibre by the
pressure of tumours, or by narrowing of their openings at the heart,
whether as the result of diseased valves or other morbid condition. As
affecting the auricles primarily its usual cause is narrowing of the
auriculo-ventricular opening from some abnormal deposit. The extreme
thinness of the walls of the auricles allows these to give way under
internal pressure even much more readily than the right ventricle.
The causes it will be seen are similar to those inducing hypertrophy,
and hence the frequent coexistence of the two. Pure dilatation occurs
especially when internal pressure takes place suddenly and to excess,
and while the nutritive functions are to a great extent in abeyance.
Such conditions are found in acute inflammations of the respiratory
organs, or of the inner or outer membranes of the heart, and the rapid
deposit in the lungs of tubercles or other abnormal material.
Dilatation of the right side of the heart is a common complaint in
overfed cattle, and is apparently due to the diminished power of
resistance in the walls of the heart, the muscular substance of which is
partly replaced by fatty granules, and to the obstruction offered to the
circulation by the extraordinary accumulation of fat around the base of
the heart and the commencement of the large blood vessels. Though a
diseased condition this rarely shortens life or interferes with the uses
to which cattle are put.
The heart walls are similarly weakened and yield more readily to the
internal blood pressure in endocarditis, myocarditis, pericarditis, high
fever, infectious diseases, poisonings, anæmia, and debilitating
diseases generally. Debility and incapacity to resist the blood pressure
is the essential prerequisite to dilatation.
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