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Updated: May 18, 2025
But no one was ever inconsiderate enough to hint at his airy fabrication; and Margaret MacLean always inquired after him every morning with the same interest that she bestowed on the other occupants of Ward C. Last in the ward came Michael, a diminutive Russian exile with valvular heart trouble and a most atrocious vocabulary. The one seemed as incurable as the other.
It is not proposed here to describe the condition of sudden cardiac failure, or acute dilatation during disease, or after a severe heart strain, but to describe the terrible cardiac agony which occurs, sometimes repeatedly, with many patients who have valvular lesions. These patients may not have the symptoms of loss of compensation.
Graded physical exercise or athletic work, however, is essential for the patients' future health, and first walking and later more energetic exercise may be advisable. These patients must not become chilled, as they are liable to catch cold, and a cold with them must not be neglected, as coughing or lung congestions are always more serious in valvular disease.
It is not sufficiently recognized that a subacute arthritis, recurring tonsillitis, open and concealed infections in the mouth, and even a condition of the system with acute, changeable and varying joint and muscle pains may all develop a mild endocarditis, even with subsequent valvular lesions.
"It had occurred to me at once that it might be merely a case of stoppage of her main feed, complicated, perhaps, with a valvular trouble in her exhaust. On the other hand it was clear enough that, if her feed was full and her gauges working, her trouble was more likely a leak somewhere in her piping. "But all attempts to draw from the girl any clear idea of the symptoms were unavailing.
The physical signs of such a heart, the increased valvular murmur or murmurs, its irregular action, possibly intermittence or irregular contractions of different parts of the heart, causing diocrotic or intermittent pulse with a lowered blood pressure, are all signs readily found.
Fraenkel found these nodules in the myocardium in a case of chorea, showing the close relationship between it and rheumatism. While repeated careful examination of the heart during acute infections will generally show signs of endocarditis if it is present, even if there are no subjective symptoms, the disease may be so insidious as not to be noted until a valvular lesion occurs.
We are not to alarm her, or interfere with her daily habits. There is valvular disease as I think you know and it has advanced. Neither he nor anyone can forecast." The girl's head fell. She recognised that the contest was over. She could not go; she could not leave Augustina; and the inference was clear. There had not been a word of menace, but she understood. Mr. Helbeck's will must prevail.
If the left ventricle is the most hypertrophied, the apex is also to the left, but the impact is very decided and the aortic closure is accentuated. The term "simple dilatation" may be applied to the dilatation of one or both ventricles when there is no valvular lesion and when the condition may not be called broken compensation. The compensation has been sufficiently discussed.
This is the most frequent form of valvular disease of the heart, and is due to a shortening or thickening of the valves, or to some adhesion which does not permit the valve, to close properly, and the blood consequently regurgitates from the left ventricle into the left auricle during the contraction of the ventricle.
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