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Updated: June 17, 2025
When either general or local arteriosclerosis is present, the treatment which should be inaugurated comprises anything which would tend to inhibit the endarteritis and the classification necessary periods of rest, the interdiction of all physical effort or physical strain, and the regulation of the diet, digestion and elimination.
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.
With high blood pressure to the point of beginning endarteritis, a gradually increasing force of the apex beat occurs, the aortic closure is accentuated as just described, the pulse is slow, the tensity of the arteries depends on the stage of the disease, and when the disease is actually present, the palpable arteries do not collapse on pressure.
The vitality of the tissues is so low that the balance between life and death may be turned by the most trivial injury, such as a cut while paring a toe-nail or a corn, a blister caused by an ill-fitting shoe or the contact of a hot-bottle. In some cases the actual gangrene is determined by thrombosis of the popliteal or tibial arteries, which are already narrowed by obliterating endarteritis.
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