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This lesion may allow a patient to live for years, provided no other serious disturbance of the heart occurs, such as myocarditis or coronary disease; but sooner or later, with the failing force of the blood flow and the lessened aortic pressure, slight attacks of anemia of the brain occur, causing syncope or fainting. Also, sooner or later these patients have little cardiac pains.
If there is no atheromatous condition of the coronary arteries, and arterial disease is not a cause of the valvular lesion, compensation may be broken by some sudden extra strain put on the heart, either muscular or by some acute sickness or a necessary anesthetic and operation.
The heel of the horse is the part commonly known as the hock. The hinder cannon-bone answers to the middle metatarsal bone of the human foot, the pastern, coronary, and coffin bones, to the middle toe bones; the hind hoof to the nail, as in the fore-foot. And, as in the fore-foot, there are merely two splints to represent the second and the fourth toes.
"Perhaps they should be put out of reach of poverty," later felt he "had caused death of wife and son on account of his expensive living." Autopsy: chronic internal hydrocephalus, cerebral arteriosclerosis. Brain weight 1180 grams. Coronary sclerosis with calcification throughout, aortic and pulmonary valvular calcification hypertrophy of heart. Cystitis.
The more frequent result, when the disease has not advanced so far, is a failing heart, either from degenerative myocarditis, coronary sclerosis or dilatation, with all the symptoms of coronary sclerosis and angina pectoris, or with the symptoms of failing circulation.
It is superficial or deep, according to the thickness of the wall involved; complete or incomplete, depending on whether it extends from the bearing margin of the wall to the coronary band or only a portion of the distance; simple, when the horny tissue only is involved; and complicated, when the sensitive tissue beneath becomes injured and inflamed.
The "cannon bone" answers to the middle bone of the five metacarpal bones, which support the palm of the hand in ourselves. The "pastern," "coronary," and "coffin" bones of veterinarians answer to the joints of our middle fingers, while the hoof is simply a greatly enlarged and thickened nail.
The insensitive foot or hoof is divided into wall, sole, frog and bars. The sensitive foot is divided into vascular tissue and elastic apparatus. The vascular tissue is in turn divided into coronary cushion, laminae and velvety tissue. The elastic apparatus is divided into plantar cushion and fibro-cartilages. The bony core is formed by the navicular and third digital bones.
There was some question of an acute encephalitic lesion in the tissues lining the posterior half of the third ventricle. Patient was greatly emaciated and anemic from chronic ulcers of ileum. There was also cholelithiasis. There was a mild coronary atheroma and slight mitral valve edge thickening. The delusions expressed were those of great wealth. Patient also thought he was a great poet.
Too much or too little blood in the cavity of the heart may cause distress and pain; or an imperfect circulation through the coronary arteries and the vessels of the heart, impairing its nutrition or causing it to tire more readily, may be the cause of these cardiac pains, distress or discomfort.
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