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The Lettsomian Lectures on Diseases and Disorders of the Heart and Arteries in Middle and Advanced Life [1900-1901] cover

The Lettsomian Lectures on Diseases and Disorders of the Heart and Arteries in Middle and Advanced Life [1900-1901]

Chapter 19: Transcriber's note:
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About This Book

A series of lectures surveys cardiovascular disease in middle and later life, outlining normal post‑forty changes and a range of causes such as physical and nervous strain, toxic and metabolic disturbances, gout, syphilis, rheumatic and chronic conditions. Clinical sections characterize presentations related to tobacco, alcohol, obesity, glycosuria, mechanical cardiac strain and syphilitic or nervous origins, noting typical signs, pulse and sound changes, and functional limitations. The closing discussion covers differential diagnosis, the diagnostic value of signs and symptoms, prognosis, and practical principles for treatment and management of age‑associated heart and arterial disorders.

Acute disease and cardio-vascular degeneration; 39

Alcohol and cardiac disease; 9, 18

Alcoholism, Heart in, Course of; 20

Alcoholism, Heart in, Pathology of; 3, 19, 20

Alcoholism, Heart in, Prognosis of; 36

Alcoholism, Heart in, Symptoms and signs of; 13

Alcoholism, Heart in, Treatment of; 42

Angina pectoris; 17, 21, 24

Angina pectoris, false; 35

Angina pectoris, Prognosis of; 40

Angina pectoris, Significance of; 35

Arteries, The, at 20 to 45; 3

Arteries, The, at 45 to 65; 3, 4

Arteries, The, at 65 to 75; 4

Arteries, Degeneration of, and Gout; 7

Arteries, Diseases of, after 40, causes of; 6

Arteries, Soundness of, after 40; 5

Atheroma and Gout; 7

Atheroma, Treatment of; 44


Beneke, Professor, on the normal Arteries after 40; 3

Beneke, Professor, on the normal Heart after 40; 3

Bright's disease and cardio-vascular disease; 11, 29

Bruit de galop; 35


Causes of cardio-vascular disease; 9

Coffee and cardiac disorders; 9

Compensation, Maintenance of; 44

Cycling and cardiac strain; 6


Diabetes and cardio-vascular disease; 10

Diagnosis, Differential, of cardio-vascular disease; 3


Emphysema and cardio-vascular disease; 11

Exercise, Abuse of, and cardio-vascular disease; 8, 26

Exercise, after 40, Uses of; 45


Failure of Heart, Treatment of; 48

Failure of Heart, with Digitalis; 49

Failure of Heart, with Drainage; 49

Failure of Heart, with Purgatives; 49

Faintness, significance of; 35

Fatty degeneration, Diagnosis of; 47

Fatty degeneration, Treatment of; 47

Fevers, Acute specific, and cardio-vascular disease; 11


Glycosuria and Heart Disease; 22

Glycosuria and Heart Disease, Prognosis of; 36

Glycosuria and Heart Disease, Symptoms and Signs of; 22

Golf and cardiac strain; 7

Gout and Atheroma; 7

Gout and cardiac strain; 7

Gout as a cause of cardio-vascular disease; 9

Gout and Heart Disease; 20

Gout and Heart Disease, Prognosis of; 36

Gout and Heart Disease, Symptoms and signs of; 20

Gout and Heart Disease, Treatment of; 42, 45

Gout, Irregular; 10

Gouty Heart; 20


Heart, The, at 20 to 45; 3

Heart, at 45 to 65; 4

Heart, at 65 to 75; 4

Heart of the business man; 12

Heart, Disorder of, after 40, Causes of; 6

Heart, Failure of, Treatment of; 48

Heart, Family; 14

Heart, normal, The, after 40; 3

Heart, Soldier's, The; 12

Heart, Strain of; 6

Heart, Strain of, after 40; 6

Heart, Strain of, in Gout; 7

High arterial tension from nervous strain; 8


Influenza and cardio-vascular disease; 11


Lead and cardiac disorder; 9


Metabolism, Disturbances of, and cardio-vascular disease; 9

Murmur, Aortic Diastolic, Significance of; 33

Murmur, Systolic Diastolic; 33

Murmur, Endocardial Diastolic; 33

Murmur, Mitral, Presystolic Diastolic; 33

Murmur, Mitral, Systolic; 33


Nauheim treatment; 45

Nervous influences a cause of cardio-vascular disease; 8

Nervous Strain and Heart Disease; 29

Nervous Strain and Heart Disease, Prevention of; 43

Nervous Strain and Heart Disease, Prognosis of; 39

Nervous Strain and Heart Disease, Symptoms and signs of; 29


Obesity and cardio-vascular disease; 10, 22

Obesity and Heart Disease, Symptoms and signs; 22

Old Age, Normal arteries in; 5

Old Age, heart in; 5

Operations in cardio-vascular degeneration; 39


Palpitation, Significance of; 35

Physical stress, a cause of cardio-vascular disease; 6

Prognosis, Elements of; 36, 40

Pseudo-angina pectoris; 35


Rowing and cardiac strain; 7

Running and cardiac strain; 7


Sound, First, reduplicated; 34

Sound, Second, accentuated; 34

Strain of Heart after 40, Prevention of; 45

Strain of Heart after 40, Prognosis of; 38

Strain of Heart after 40, Symptoms and signs of; 23

Strain of Heart after 40, Treatment of; 46

Strain of Heart before 40, Prognosis of; 38

Strain of Heart before 40, Symptoms and signs of; 25

Strain of Heart before 40, Treatment of; 45

Syphilis, a cause of cardio-vascular disease; 10

Syphilitic Heart Disease, Prognosis of; 37

Syphilitic Heart Disease, Symptoms and signs of; 28

Syphilitic Heart Disease, Treatment of; 44


Tea and cardiac disorder; 9

Tension, High, Significance of; 35

Tobacco Heart; 9, 15

Tobacco Heart, Prognosis of; 36

Tobacco Heart, Symptoms and signs of; 15

Tobacco Heart, Treatment of; 42

Treatment of cardiac disease, Preventive; 42

Treatment of cardiac disease, Principles of; 41

FOOTNOTES:

[1] F. W. Beneke, 'Die Altersdisposition.'

[2] Humphry, 'Old Age,' 1889, p. 23.

[3] Op. cit., p. 48.

[4] Humphry, 'Old Age,' 1889, p. 15.

[5] Leonard Hill, Allbutt's 'System of Me inc,' vol. xii; George Oliver, 'The Blood and Blood-Pressure,' p. 170, 1901.

[6] A medical friend who has suffered from tobacco heart assures me that at one period he could distinguish the contractions of the auricles and ventricles.

[7] Maguire, 'Trans. Clin. Soc. of London,' vol. xx, p. 235.

[8] Mott, "Cardio-Vascular Nutrition and its Relation to Sudden Death," Practitioner, xli, p. 161.

[9] Mott, 'The Croonian Lectures on the Degeneration of the Neurone,' p. 110, 1900.

[10] Dyce Duckworth, 'A Treatise on Gout,' 1889, p. 108.

[11] Murchison, 'Clinical Lectures on Diseases of the Liver,' 3rd edition, 1885, p. 637.

[12] Cf. Clifford Allbutt, "Selections from the Lane Lectures," Philadelphia Med. Journ., January 27th, 1900.

[13] Mott, Practitioner, loc. cit., p. 169.

[14] Clifford Allbutt, 'System of Medicine,' v, p. 843.

[15] G. W. Balfour, 'The Senile Heart,' p. 236, 1894.

[16] Balfour, op. cit., p. 249.

Transcriber's note:

Minor typographical errors have been corrected without note. Irregularities and inconsistencies in the text have been retained as printed.