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Updated: May 11, 2025
He thinks that a heart which does not so respond by reducing its size after exercise has a damaged muscle, and compensation is more or less impaired. Practical conclusions to draw from the foregoing suggestions are: 1. An enlargement of the heart after exercise can be well shown only by fluoroscopic examination, and then best by some accurate method of measurement.
I followed Jim in; he closed the door and started the air conditioner. "Here, First Mortgage," he said as he turned from the control board and faced me, "here are the fluoroscopic screens. They are arranged in a bank, so that you can keep an eye on all of them readily.
Beneath each telescope is an automatic one-pounder gun with its mount geared to the telescope and the light, so that the gun bears continually on the point in space represented by the center of the fluoroscopic screen which belongs to that light. If we locate anything, turn your beam until the object is in the exact center of the screen where these two cross-hairs are.
It a roentgenographic and fluoroscopic examination cannot be made, careful percussion, noting the region of the apex beat, noting the rapidity and action of the heart on sitting, standing and lying, and noting the length of time it takes while resting, after exertion, for the speed of the heart to slacken, will show the heart strength.
Besides the instruments of precision referred to above, more careful percussion, more careful auscultation, more careful measurements, roentgenoscopy and fluoroscopic examination of the heart, and a study of the circulation with the patient standing, sitting, lying and after exercise make the determination of circulatory ability a specialty, and the physician who becomes an expert a specialist.
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