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Updated: May 18, 2025
The valvular arrangements of the blood-vessels are unapproached by any artificial apparatus, and the arrangements for preventing friction are so perfect that two surfaces will play on each other for fourscore years or more and never once trouble their owner by catching or rubbing so as to be felt or heard.
Lord Dredlinton's death was due to exhaustion, but the doctor certifies that he was suffering, and has been for some time, from advanced valvular disease of the heart." "He had not the appearance," Wingate observed, "of being a healthy man." "He certainly was not," Shields admitted. "On the other hand, with great care he might have lived for some time.
On the other, a collection of rare and extraordinary instances of sudden death which have happened to be preceded by a powerful mental impression, many of which bear clearly upon their face the imprint of death by rupture of a blood-vessel, heart failure, or paralysis, in the course of some well-marked and clearly defined chronic disease, like valvular heart-mischief, diabetes, or Bright's disease.
He had had men die after several days in the jacket, although, invariably, they were unlaced and carted into hospital ere they breathed their last . . . and received a death certificate from the doctor of pneumonia, or Bright's disease, or valvular disease of the heart. But me Warden Atherton could never kill.
Dr Playfair saw in Borrow's highly nervous excitable nature, if not the cause of his wife's breakdown, at least an obstacle to her recovery, and was of opinion that Mrs Borrow's disorder had been greatly aggravated by her husband's presence. Mrs Borrow never rallied from the attack, and on the 30th she died of "valvular disease of the heart and dropsy," being then in her seventy-seventh year.
The diet should be varied from day to day to encourage the appetite. It has for several years been recognized that a salt-free diet in dropsies due to disease of the kidneys is a valuable aid in causing absorption of such exudates and of preventing greater exudations. For this reason a salt-free diet is often ordered in dropsies occurring in valvular disease.
This particular valvular defect occurs more frequently in women than in men, and between the ages of 10 and 30, and is generally the result of rheumatic endocarditis or chorea, perhaps 60 percent of mitral stenosis having this origin. Other causes are various infections or chronic disease, such as nephritis.
I have over and over seen young men with weak hearts or unsuspected valvular troubles who had suffered from having been allowed to play foot-ball.
When there is low blood pressure, venous stasis, pulmonary congestion, cyanosis and a laboring, failing heart, intramuscular injections of ergot, with or without coincident venesection, may be the most valuable method of combating the condition. Life has been saved in this kind of sudden acute cardiac failure in valvular disease.
Such are fibroid changes in the lungs, emphysema, prolonged chronic bronchitis, the last stages of pulmonary tuberculosis, old neglected pleurisies with cirrhosis or fibrosis of the lung, and repeated attacks of asthma anything, whether valvular defect or pulmonary circulatory disturbance, which increases the pressure ahead and the work of this ventricle.
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