File:Diseases of the heart and arterial system; Designed to be a practical presentation of the subject for the use of students and practitioners of medicine (1910) (14768894042).jpg

Identifier: diseasesofhearta1910babc (find matches)
Title: Diseases of the heart and arterial system; Designed to be a practical presentation of the subject for the use of students and practitioners of medicine
Year: 1910 (1910s)
Authors: Babcock, Robert H. (Robert Hall), b. 1851
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Publisher: New York, Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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able size does not nec-essarily preckule the possibility of long life and may not giverise to symptoms. Duroziez, cited by Gibson, discovered such acondition in a woman who died of erysipelas at the age of sev-enty-six. Wlieii not dependent upou ))ulnionary stenosis or other valvu-lar defect there may even be an absence of uiurnnir or other ob-jective evidence of the patency. A defect in the interventricular saeptum may also fail tomanifest itself by sul)jective symptoms, and there may not teeven cyanosis, which, as we shall see later on, is ordinarily one ofthe commonest and most significant features of congenital heart-disease. Stenr»sis or atresia of the pulmonary orifice or artery, on theother hand, rarely fails to occasion grave circulatory embarrass- CONGENITAL DISEASES OF THE HEART 691 ment, and hence well-marked subjective and objective symptoms.It is in this the most frequently recognised congenital affection,therefore, especially when attended by sseptum imperfections, that
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Fig. lOij.—Shows the Cyanosis of Congenital Heabt Disease, the Drum-Stick Fingee-Tips, the Bulging Pr^cordia, and the Distention of the Abdomen ln its UpperZone due to Hepatic Congestion. patients complain of symptoms. It is worthy of note in this con-nection, however, that my patient, whose case was narrated in the 692 DISEASES OF THE HEART chapter on Pulmonary Stenosis, denied having suffered any incon-venience from his cardiac lesion, although this was pronounced,and indeed was not aware of its existence until informed of it bymyself. Even up to the last his symptoms were chiefly attributa-ble to the tuberculosis of the lungs, which was secondary to hisvalvular disease. Children who are born with serious disorders of the heartevince notable backwardness of development, both mental as wellas bodily. Their intellectual processes are sluggish, and theylearn to talk at a later age than do normal children. In staturethey are iisually stunted, even dwarfish, and they are apt to pre-sen

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