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Updated: June 22, 2025
Statistics have shown that the valves of the left side of the heart are diseased nearly twenty times as frequently as those of the right side of the heart. They also show that the mitral valve is diseased more than one and one-half times as frequently as the aortic valve.
The student of anatomy may remember the position of the Mitral valve on the Left side of the heart by thinking that L.M. stands also for 'long meter' in the hymn-books. You now see why 'cramming' must be so poor a mode of study. Cramming seeks to stamp things in by intense application immediately before the ordeal. But a thing thus learned can form but few associations.
The valve on the right side is called the tricuspid, because it consists of three little folds which fall over the opening and close it, being kept from falling too far by a number of slender threads called chordæ tendinæ. The valve on the left side, called the mitral, from its fancied resemblance to a bishop's mitre, consists of two folds which close together as do those of the tricuspid valve.
"Hey, hey! it is papa Mitral!" cried one of them, named Chaboisseau, a little old man who discounted for a publisher. "Bless me, so it is!" said another, a broker named Metivier, "ha, that's an old monkey well up in his tricks." "And you," retorted Mitral, "you are an old crow who knows all about carcasses." "True," said the stern Gobseck. "What are you here for?
"How much will you lose?" asked Mitral. "Nothing," said Gobseck. "Nobody knows we are in it," added Gigonnet; "Samanon screens us." "Come, listen to me, Gigonnet; it is cold, and your niece is waiting outside. You'll understand what I want in two words. "Is it possible!" said Gobseck. "What for?" cried Gigonnet, "and where to?" "To des Lupeaulx's magnificent country-seat," replied Mitral.
Gigonnet and Mitral gave a glance at the three clerks so penetrating, so glittering with gleams of gold, that the two scoffers were sobered at once. "Hein?" said Bixiou, when they were safely under the arcades in the place Royale; "did you examine those uncles? two copies of Shylock. I'll bet their money is lent in the market at a hundred per cent per week.
Mitral was a being with a sinister wig, a face the color of Seine water, lighted by a pair of Spanish-tobacco-colored eyes, cold as a well-rope, always smelling a rat, and close-mouthed about his property. He probably made his fortune in his own hole and corner, just as Werbrust and Gigonnet made theirs in the quartier Saint-Martin.
There are several sanatoriums in this country where the diet, hydrotherapy and exercise necessary for developing heart strength are carried out, and patients are sent to some of them with great advantage. It has been found that these stimulant baths do not act well in mitral stenosis, if the left ventricle is small.
They say he plays dominoes there every night with his friend Monsieur Gobseck. I don't wish to go to such a place alone; my uncle Mitral will take me there and bring me back." At this instant Mitral showed his yellow face, surmounted by a wig which looked as though it might be made of hay, and made a sign to his niece to come at once, and not keep a carriage waiting at two francs an hour.
The reserve strength of the heart muscle, as has been previously stated, is much less in valvular compensation than that of the normal heart, and this reserve force is easily overcome by the pregnancy, and loss of compensation occurs with all of its usual symptoms. The most serious lesion a woman may have, as far as pregnancy is concerned, is mitral stenosis.
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