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Various explanations of the heart pang have been suggested, such as a spasm or cramp of the heart muscle, sudden interference with the heart's action, as adherent pericarditis, a sudden dilatation of the heart, an interference with the usual stimuli from auricle to ventricle and therefore a very irregular contraction, a sudden obstruction to the blood flow through a coronary artery, or a sudden spasm from irritation associated with some of the intercostal or more external chest muscles causing besides the pang a sense of constriction.

As long as the circulation in the heart itself is good and not impaired by coronary sclerosis, and as long as this slowly developing chronic myocarditis has not advanced far, cardiac symptoms will not be in evidence; but if these conditions occur, or if the blood pressure is so greatly increased as to damage the aortic valve or strain and dilate the left ventricle, symptoms rapidly appear, and the heart must be carefully watched.

In some instances, the pastern joint is opened by calk wounds and then, of course, an infectious arthritis succeeds the injury. Treatment. In all contused wounds of the coronary region the parts need thorough cleansing; the hair, if long is clipped and a cataplasm is applied.

In this way deep cuts may divide the coronary band and inflict extensive injury to the sensitive lamina as well. An infectious type of coronary inflammation occurs in some localities during the winter months, wherein the condition is enzootic. Symptomatology.

As stated above, coronary sclerosis probably seldom occurs without more general arteriosclerosis. Obstruction of the coronary arteries, however, not infrequently occurs at their orifices in conjunction with sclerosis of that region of the aorta and of the aortic valve.

The most satisfactory dose of digalen is from 5 to 10 drops once or twice in twenty-four hours. Digitalis should not be used when there is fatty degeneration of the heart; it should ordinarily not be used when there is arteriosclerosis, and very rarely, if ever, when it is decided that there is coronary disease.

As previously stated, with the absence of good coronary circulation and the consequent impaired nutrition, the left ventricle may also dilate and the mitral valve may become insufficient. Sudden death from heart failure may occur with this lesion more frequently than with mitral insufficiency but less frequently than with aortic insufficiency.

Even with some forms of angina pectoris, digitalis in small doses may reduce the frequency of the pain. This decrease of pain following the use of digitalis has in some cases been ascribed to the improvement of coronary circulation and resulting better nutrition of heart muscle. Of course under these conditions the action of digitalis must be carefully watched, and it should not be given too long.

The next is, of Garlands, or coronary and garland Plants; a subject merely of learned curiosity, without any other end than the pleasure of reflecting on ancient customs, or on the industry with which studious men have endeavoured to recover them.

Unequal distribution of weight, the result of unskilled shoeing, or any other condition that may cause the foot to become unbalanced, using the foot rasp too freely, and such diseases as quittor, corns and contracted quarters subject the animal to this form of unsoundness. Any injury to the coronary cushion that secretes the fibres of the horny wall may result in either toe- or quarter-crack.