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Pierston now learnt for the first time that the widow had been visited by sudden attacks of this sort not infrequently of late years. They were said to be due to angina pectoris, the latter paroxysms having been the most severe. She was at the present moment out of pain, though weak, exhausted, and nervous.
In my own case I was at one time suffering from a violent pain in my chest, which presented all the symptoms of /angina pectoris/, a mortal malady. It was nothing of the sort. Indigestion, doubtless, and, as such, curable. Remember that most of the sick persons who go to Lourdes come from the country, and that the country doctors are not usually men of either great skill or great experience.
In serious pain morphin becomes a life saver. While a number of causes of true cardiac pain may be eliminated by improvement in any loss of compensation, by improvement of the heart tone, by more or less recovery from myocardial or endocardial inflammation, and by the withdrawal of nicotin, which may cause cardiac pains, still, true angina pectoris once occurring is likely to be caused by a progressive, incurable condition, and the attacks will become more frequent until the final one.
Kent wrinkled his nose and sniffed several times. "Smells like fruit." Ferguson nodded. "Good guess; I noticed the odor and went at once to Dr. McLane. He told me the handkerchief was saturated with amyl nitrite." "Amyl nitrite," repeated Kent reflectively. "It is given for angina pectoris." "Yes.
X . Can it be pretended that Dr. X remembered having died of angina pectoris at the age of forty-nine when in the person of his father, and accordingly, when he came to be forty-nine years old himself, died also? For this to hold, Dr. X -'s father must have begotten him after he was dead; for the son could not remember the father's death before it happened.
Other results of uric acid irritation are: inflammatory and catarrhal conditions of the bronchi, lungs, stomach, intestines, genitourinary organs; rapid pulse; palpitation of the heart; angina pectoris; etc.
Pseudo-angina. In connexion with angina pectoris, a far more common condition must be mentioned that has now universally received the name of pseudo-angina. This includes the praecordial pains which very closely resemble those of true angina. The essential difference lies in the fact that pseudo-angina is independent of structural disease of the heart and coronary arteries.
Aconite and veratrum viride are now rarely indicated, although possibly aconite should be used when there is high tension and the heart is acting irritably and stormily. In diseases of the heart the sudden vasodilation caused by amyl nitrite inhalations is indicated only in angina pectoris.
Sooner or later such a condition will cause attacks of angina pectoris and more or less pronounced symptoms of chronic myocarditis and fatty degeneration, as previously described. 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.
The complaint which thus suddenly terminated his life, in his seventy-first year, was the Angina Pectoris. The Temple of Nature was printed in the year after his death; but the public had either read enough of his writings or were occupied with other things, for little attention was paid to this poetical bequest.
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