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Updated: June 18, 2025
Other drugs are considered in the discussion of hypertension. If the heart actually fails, the treatment becomes that of chronic myocarditis and of dilatation. Not infrequently in sclerosis of the arteries, especially of the coronary arteries, the blood pressure is not high, but low, and the heart is insufficient.
The veteran observer fell silent at this point, and the Easy Chair seized the occasion to remark: "Yes, there is something in what you say. But this stiffening of the tastes, this sclerosis of the mind, is hardly an infectious disease " "Ah, but it is infectious," the veteran observer exclaimed, rousing himself, "infectious as far as the victim can possibly make it so.
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.
He felt the doctor's eyes looking straight into his; and as the question had been put to him with quiet courage, he answered in the same way: "Well, it is true, I think there is some sclerosis." "Ah! it was kind of you not to attempt to deceive me," returned the doctor, smiling. "I feared for an instant that you would tell me an untruth, and that would have hurt me."
Sclerosis of the meshwork of the iris angle is the predisposing factor because it hinders free access of aqueous into the venous sinus of Schlemm. Sclerosis alone, however, will not cause glaucoma so long as access to the iris veins can keep the intra-ocular pressure at the intra-venous level, and, too, as long as the exciting cause is absent.
"At least, unless one chances to die of a sudden attack." They talked for some time longer, discussed a remarkable case of sclerosis of the heart, which they had seen at the hospital at Plassans. And when the young physician went away, he said that he would return as soon as he should have news of the Grandguillot liquidation. But when he was alone Pascal felt that he was lost.
Real heart pains frequently occur without any valvular lesion, and also when necropsies have shown that there has been no sclerosis of the coronary vessels.
"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.
When the disease is actually present, there is nothing to do except for the patient to stop active labor, never to overeat or overdrink, to prevent, if possible, toxemias from the bowels, to keep the colon as clean as possible, and for the physician to give the heart such medicinal aids as seem needed, vasodilators if the heart is acting too strongly, possibly small doses of cardiac tonics if the heart is acting weakly; always with the knowledge that a degenerative myocarditis may be present in considerable amount, or that coronary sclerosis may be present.
As stated above, coronary sclerosis probably seldom occurs without more general arteriosclerosis. Obstruction of the coronary arteries, however, not infrequently occurs at their orifices in conjunction with sclerosis of that region of the aorta and of the aortic valve.
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