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Updated: June 22, 2025
It is due to a diminished contractile power of the heart when the heart muscle has become weakened and a more or less rapid heart action is present. Jour. Med. He finds that it frequently occurs with Cheyne-Stokes respiration, and continues until death. He also finds that the condition is not uncommon in dilated hearts, especially in mitral disease, and with other symptoms of decompensation.
"Come, Gigonnet, show a little feeling," said Chaboisseau, "they've knit your stockings for thirty years." "That counts for something," remarked Gobseck. "Are you all alone? Is it safe to speak?" said Mitral, looking carefully about him. "I come about a good piece of business." "If it is good, why do you come to us?" said Gigonnet, sharply, interrupting Mitral.
These are known as the chordæ tendineæ, or heart tendons. Their purpose is to serve as valve stops, to prevent the valve from being thrown, by the force of the blood stream, back into the auricle. The mitral, or bicuspid, valve is suspended around the opening between the left auricle and the left ventricle, with the free margins extending into the ventricle.
In spite of his Roman virtue he must have been touched, for his red nose lost somewhat of its color. "Well, suppose it is misfortune, won't you help Saillard's daughter? a girl who has knitted your stockings for the last thirty years!" cried Mitral. "If there's good security I don't say I won't," replied Gigonnet. "Falleix is in with them.
Uncle Mitral, a former sheriff's officer, crafty, clever at sharp practice, and full of expedients and judicial precautions, believed the honor of his family to be involved in the appointment of his nephew.
We both of us loved the old fellow, but at the same time, in the privacy of our own intimate conversations, we could not help commenting upon this deplorable lack of judgment. "It's all very well for the poorer people," said Patterson. "But after all the educated classes have a right to expect that their medical man will know the difference between a mitral murmur and a bronchitic rale.
It has sometimes seemed that high blood pressure has caused the left ventricle to act with such force as to irritate this mitral valve, and later develop from such irritation a sclerosis or narrowing, and stenosis occurs.
"Elisabeth"; cried Gigonnet, interrupting again; "dear little creature! she takes after her grandfather, my poor brother! he never had his equal! Ah, you should have seen him buying up old furniture; what tact! what shrewdness! What does Elisabeth want?" "Hey! hey!" cried Mitral, "you've got back your bowels of compassion, papa Gigonnet! That phenomenon has a cause."
Rheumatism is the cause of most instances of cardiac disease which date back to childhood or youth, while arteriosclerosis and chronic infection cause most cardiac diseases in the adult. In the former case it is the mitral valve which is the most frequently affected, while in the latter it is the aortic valve.
"It's a clever game," said Metivier. "We'll do it," said Gigonnet; "you agree, don't you, Gobseck? Falleix can give us security and put mortgages on the property in my name; we'll go and see des Lupeaulx when all is ready." "We're robbed," said Gobseck. "Ha, ha!" laughed Mitral, "I'd like to know the robber!" "Nobody can rob us but ourselves," answered Gigonnet.
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