None
38 Schott, 281 systems of, in thprapeutics, 279 test of cardiac function, 210 Exercises, effect of, on size of heart, 201 of endurance, 199 circulation in, 199 mechanics of, 197 of speed, mechanics of, 197 of strain, 200 effect on blood-pressure, 200 mechanics of, 279 Exophthalmic goitre (see Bnsedow's disease) Exophthalmos from stimulation of sympa- thetic, 684 Extrasystoles, 107, 130, 135 auricular, IL2, 13d auriculo (atiio; ventricular, 114, 136 auriculo ventricular, lesions in, 110 diagnosis of, 123 efiect of at: opine on, 114 electrocardiogram in, 112 experimental production of, 113 heart sounds m, 114 in cardiac oveistrain, 194 in myocarditis, 328 ineffectual, 114 neurogenic, 108 palpitation with, 113 prognosis, 116 treatment, 116 stimuli causing, 113 venous pulse in, 112 ventricular, 109, 136 Face, oedema of, 222 Facies, aortic, 152 abdominal, 228 cardiac, 152, 228 mitral, 152 Fatigue, effect of, on energy used up, 199 Fats, diminished absorption of, 227 Fatty degeneration of the heart, 304, 309 etiology, 311 nature of, 310 pathological anatomy of, 309 prognosis, 312 rupture of the heart in, 31 1 strength of heart with, 311 symptoms and signs of, 312 treatment, 312 of the intima, 344 infiltration of the heart, 304, 305 cardiac conditions associated with, 306 etiologj', 307 nature of the fatty deix)sit, 305 physical signs of, 307 treatment of, 307 Fetal heart sounds, graphic record of, 170 Fevers, acapnia in, 49 Filling of the heart, 10 of the ventricles, 11 First sound at aorta, 165 cause of, 165 character of, 165 duration of, 1G6 in suprasternal notcli. 160 redupHeated, 170, 171 Fluid in cardiac diseases, r.cir.niulation of, 222 Fluoroscopp. 144 diagnosis by, 147 Fcctus, circulation in, 531 Football playing, effect of, on heart, 201 Foramen ovale, development of, 529 effect of patency on circulation, 551 open r^'SS patent, 550 crossed embolism in, 552 occurrence and pathogenesis, 550 INDEX 723 Foramen Ovale, patent, paroxysmal cyanosis m, 552 signs of patency, 552 symptoms of {latency, 551 treatment of, 552 vicious circle in, 540 Formative stimulus in arteriosclerosis, 339, 342 Fragmentation of muscle fibres, 315 Friction in pericarditis, 594 pleuropericardial, 594 Functional mitral insufnciency, 421 testa of cardiac efficiency, 209 ofcardiecin8ufIiciency,valueof,211 relation of, to mode of life, 211 Gallop rhythm, presystolic, 171, 172 piotodiastolic, 171, 173 Galvanometer, string, 85 tluead, 8J Gastric fertaent cction, 705 Gonococci:s ls ca^se of endocarditis, 402 Graefe's sign in Basedow's disease, 684 Graves's disease (see Basedow's disease) Gymnastics, 279 fundamental principles of, 279 Hsematuria, 205 Hsmopericardium, 603 from cardiac tumors, 336 Haemoptysis from pulmonary stasis, 220 in pulmonarj- msufficiency, 494 Hallucinations, 229 in adherent pericardium, 613 Headaches in congenital heart disease, 541 Heart, changes in position of, 161 changes in size of, 161 development of, early stages, 525 dilatation of, from constriction, 202 diminution in size of, in exercise, 201 disease and matrimony, 523 congenital, 525 blood count in, 545 etiological groupings, 534 flat chest in, 544 groups of lesions in. 533 syndrome of, 534 eflfects of labor pains in, 516 displacement of, 696 effect on circulation, 697 emptying of, 10 endothelial tube in embryo, 526 failure, mechanism of, 205 urine in chronic, 225 filling of, 10 high, 705 effect on circulation, 705 treatment of. 705 xiphisternal line with, 705 insensibility of, 384, 625 lesions, congenital, classification of, 533 low, 697, 704 signs of, 704 metastatic involvement of, 336 mobility of, in cardioptosis, 697 muscle, properties of, 1 structure of. 1 muscular tube in embryo, 526 Heart, non-perforating injuries of, 628 normal mobility, 697 nourishment ol, 379 relaxation of, 13 sensory symptoms about, 225 small, in cardiac failure, 209 sound, first, redupUcation of, in adhe- rent pericardium, 616 second aortic, in arteriosclerosis, 361 second, in mitral insufficiency, 432 third, causation of, 173 in adherent pericardium, 614 sounds, accessory, 170 causes of, 165 clinical diagram for, 165 digital imitation of, 182 graphic record of, 162 reduplicated, 170, 171 reproduction of, 164 split, 171 three-chambered, 538 tuberculosis of, 334 timiors of, 335 work of, 36 wounds of, 623 cause of death from, 624 experimental surgery of, 623 hemorrha^ in, 627 murmurs m, 625 operative treatment of, 625 spontaneous recover^' in, 623 suture of, 626 symptoms of, 625 A-ray examination of, 625 Heart^beat, origin of, 2 rdle of salts in, 2 theories of, 4 Heart-block (see also Adams-Stokes dis- ease), 104, 565, 567 asphyTual, 572 auriculoventricular, 104 complete, 105, 571 efi'ect of atropine on, 571, 580 effect of vagus on, 571 extrasystoles simulating, 584 factors affecting degree of, 569 stoppage of ventricles. 570 from cutting interauricular sep- tum, 566 functional, 104 in infectious diseases, 580 interventricular, 105 in tortoise, 507 irregular rhythm in, 573 organic, 104 partiaL 105, 571 effect of heart rate in, 571 from digitalis, 585 relation to Adams-Stokes syn- drome, 573 rAle of vagus in, 560 sino-auricular, 105 treatment of, 685 with auricular fibrillation, 581 with rapid ventricular rate, 582 724 INDEX Hemisystole, 105 Hemorrhage, blood-pressure in, 50 control of, 627 fall of blood-pressure in, 50 from the lungs, 219 in congenital heart disease, 223 in mitral disease, 220 in pulmonaiy insufficiency, 220 in wounds oi heart, 627 intracranial, blood-pressure in, 40 Heredity in arteriosclerosis, 3C4 HerzfeUerzeUen, 129. 222 Heterogenetic auricular tachycardia, 123 impulses (see Ectopic) in extrasystoles, 110 in paroxysmal tachycardia, 120 Hiccouf^ in pericarditis, 593 High diaphragm, 704 heart, 705 Hippocratic fingers, 543 His bundle, anatomy of, 568 Hoarseness in pericarditis, 593 Hormone action in cardiac symptoms, 709 Hydropericardiiun, 603 Hydrotherapy, 283 in artenosclerosis, 363 Hydrothorax, 224 in adherent pericardium, 613 production of, 224 Hyperdicrotic pulse, 68 Hypermyotropny, arterial, 340 Hypertension as factor m production of arteriosclerosis, 355 and arteriosclerosis, 45 chronic, 42 and cerebral circulation, 43 effects upon circulation, 45 prognosis, 48 treatment of, 46 diseases with, 39 Hyperthyroidism, 676 acetonitrilc test for, G80 accidental, 676 adrenalin test for, 683 ungina pectoris in, 391 effect on heart muscle, 680 effect on nervous system, 679 vicious circle of, 680 Hypertrophied heart, reserve force of, 300 Hypertrophy, 291 adrenal, 196 and abdominal arteriosclerosis, 270 and arteriosclerosis, 295 cardiac, 296 concentric, 293 electrocardiogram in, 297 excentric, 293 from overdrinking, 295 from work, 294 in chronic nephritis, 295 of the auricles, 300 of the heart in Basedow's disease, 684 of the left ventricle, 297 of the right ventricle, 297 pathological anatomy of, 291 prognosis, 300 Hypertrophy, reserve force, 300 sites of, 293 types of, 293 work, 294 Hypotension, 48 disease with, 48 failure of vasomotor centre in, 48 Hypoth3rroidism, efiect on circulation, 675 Hysterical angina, 390 Ice-bag over heart, 233 contraindications to, 233 effect on pulse rate, 233 Impulses, afferent, 17 efferent, 17 Increased intracranial pressure, blood-pres- sure in, 40 Infectious diseases as causes of arteriosclero- sis, 352 as causes of Basedow's disease, 681 hypotension in 48 Influenza as cause of Basedow's disease, 681 cfi cause of endocarditis, 402 Influenzal myocarditis, 210 Inhalation of carbon dioxide, 241 oxygen. 436 functional, 421, 422, 423 lungs in, 433 mechanics of circulation, 423 murmur and sounds in, 430 frsoplmgea] tracing in, 81 organic, 420 outward displacement of apex in, 428 papillary, 421. 422 patholocj- of, 420 physical examination in, 428 prognosis in, 438 propagation of murmur, 431 pulmonary stasis in, 424, 435 pulse in, 432 purgation in, 437 re-education of heart muscle in, 436 relatiye, 422 second heart aotmd in, 432 second stage of, 426 stages of, 425 stasis in left auricle, 423 statistics of, 420 systolic murmur in, 430 third stage of, 427 tonicity of the heart in, 427 treatment, 435 treatment of second stage of. 437 treatment of third stage, 438 with milral stenosis, 448 without sjTnptoms, 425 X-ray shadow in, 429 stenosis. 440 ano'mia in, 456 and aortic insufficiency, differen- tiation between, 452' and tricuspid stenosis, 454 arrhythmia in, 457 auricular fibrillation in, 457 blood -pressure in, 50 blowing diastolic murmur in, 450 bronchitis in, 450 cardiac outline in, 446 complications, 454 congenital form, 441 diagnosis. 451 diastt^lic murnuir in, 450 digital and phonetic imitation of the heart sounds in, 448 diluted conns arteriosus in, 446 disapi^ea ranee and reappearance of presystolic nunble in, 444 effect of auricular contraction on filling of ventricles, 443 embolism in, 455 endocarditic form, 441 etiolop>', 441 historical, 440 lannceal paresis in, 444 mid-diastolic rvmible in, 449 operations on mitral valve, 459 paralysis of auricles in, 444 pathological physiology of, 442 pathology of, 4-ilO 726 INDEX Mitral stenosis, presystolic rumble in, 446 ' thrill and systolic tap in, 445 prognosis, 459 pulmonary oedema in, 458 tuberculosis, 456 pulse in, 451 quality and production of the sounds, 447 rdle of a^dema and amemia in, 441 sclerotic form, 441 snapping first sound in, 447 stages of, 450 svmptoms and signs, 444 third heart sound in, 449 thrombosis in left auricle in, 455 treatment of j 455, 456 tuberculosis m, 441 volume of ventricles in, 442 with mitral insufficiency, 441, 448 X-ray shadow in, 447 valve, atheroma of, 422 demonstration of action of, 12 hemorrhage in, 422 malformation of, 563 testa for sufficiency, 421 Mitralized pulse, 433 Mobility of^ heart, 162 Mobius sign in Basedow's disease, 684 Monckeberg's arteriosclerosis, 349 Moore-Cornidi method in treatment of aneurisms, 662 Morbus cceruleus, 540 Morphine, dangers from, in myocarditis, 333 m cardiac dyspnoea, 217 Mountain climbing, OerterS;,^ 284 Movements, passive, 280 resisted, 280 Schott, 280 Murmur at back in patent ductus Botalli, 544 attack in mitral insufiiciency, 431 diastoHc, in pulmonary insufficiency, 494 mitral, differentiation from accidental and tricuspid, 431 digital imitation of, 430 phonographic tracing of, 430 propagation of, 431 Roger's systolic in open septum ventric- lUonim, 548 systolic, in cortic stenosis, 486 in mitral insufficiency, 430 in tricuspid insufficiency, 502 Murmurs, 175 accidental, 178 causation of, 180 differential diagnosis of, 179 nature of. 180 time of, 178 arterial, 185 cardiopulmonary, 178, 181 rharactcr of, 176 combine<l, 184 differentiation between cardiopulmo- nary and other accidental murmurs, 182 Murmurs, fimctional, 178 haemic, 178, 180 mechanical factors in the production of, 175 phonetics of, 175 single, 184 tabulation of, 184 transmission of, to chest wall, 177, 431 venous, 185 Muscle fibres in the ventricle, arrangtn.cnt of, 9 Myocardial changes, distribution of, 315 Myocarditis, 314 acute, arrhythmia in, 318 alcoholic, 321 and nephritis, 330 arrhythmia in, 327, 328 bronchitis in, 328 catalase in, 330 chronic, 324 blood-pressure in, 327 diagnosis of, 322 differential diagnosis in, 331 dilatation in, 317 diphtheritic, 320 extrasystoles in, 328 hypersensibility to digitalis, 323 influenzal, 210, 320 morphine in, 333 murmurs in, 328 pathological physiology' of, 326 rheumatic, 316, 319 signs and symptoms of, 319 strychnine m, 324 symptoms and signs of, 328 treatment of. 322, 332 weakness of heart in, 318 Myocardium, affections of, 314 syphilis of, 334 Myoma as cause of cardiac weakness, 708 Nasal disease, cardiac asthma from, 218 septum, arrhythmia from Icsicn of, 709 asthma from lesion cf, 710 Nauheim treatment, 232 Nephritis and myoci;rditis, 330 blood-pressure in, 40, 42 Nerve-fibres producing clianges in toruis, 17 Nerves, accelerator, 19 sympathetic, 19 Neurasthenia, cardiac, 694 Nitrites, 269 action of, 269 and digitrlis, 260 effect of, in hypertension of intracranial origin, 40 effect of on the circulation, 269 use of, in angina pectoris, 393 in aortic insufficiency, 479 in arteriosclerosis, 364 Nitroglycerin, 269, 270 mode of administration, 270 tolerance to, 270 Nodal rhythm, 118 Node, auriculoventrinilar. of Tawara, .568 sino-auricular, of Keith and Flack, 8 INDEX 727 Oarsmen, longevity of, 205 Obesity, diet in, 308 high diaphragm in, 306, 704 of the heart, 304 physical signs of, 307 treatment of, 307 with cardiac atrophy and cardiosclero- sis, 306 with coronary sclerosis, 306 (Edema, 219 effect of drugs and diet on, 223 fluid, salt content of, 223 lymphagogue substance in the blood in, 222 of face, 222 of heart muscle, 20G pulmonar>'. 219 treatment by drainage, 223 types of, 221 Oertel's mountain climbing, 284 (Esophageal auscultation, 170 of mitral murmur, 431 tracings, 80 in mitral insufficiency, 81 Orthodiagraph, 147 Orthopercussion, 157 Orthoplessimeter, 158 Orthopncca, 216 mechanical changes in circulation, 217 Ossification in arteriosclerosis, 341 Outflow during systole, 1 1 Oxygen inhalations of, in treatment of cardiac diseases, 240 "Pace-maker" of the heart, 5 Pain down the arms, 227 on swallowing in pericarditis, 593 precordial, 220 referred from cervical ganglia, 227 sensations, paths traversed by, 384 Palpation of heart, 15C Palpitation, 225 and angina, 384 cardiac sensations in. 225 with extrasystoU s, 113 Papillary insufficiency, 422 muscles, fatiguing of, 77 in propagation of n.itral murmur, 431 Paracentesis abdominis, 223 pericardii, 605 Paradoxical respiration in cnteroptosis, 700 Pararrhythmias, 98 Paroxysmal irregularity, 118 tachycardia, 124 associated lesions. 124 auricular fibrillation in, 124 belching in, 132 cardiac dulness during attacks, 129 cerebral amemia in, 129 coronarj' sclerosis in, 125 diagnosis of. 131 differentiation from simple tachy- cardia, 124 Paroxysmal tachycardia, doubling of rate in, 124 drugs in, 132 dyspnoea in, 129 effect on circulation, 124 embi>ocardia in, 130 exercise for stopping attacks of, 132 fall of blood-pressure in, 125 fulness of neck in, 128 heteiogenctic impulses in, 126 idiopathic, 124 in coronary sclerosis, 381 in mitral stenosis, 124 inactivity of cardiac nerves in, 9 inception of rhythm by auriculo- ventricular bundle, 135 interpolated extrasystoles, 132 irregularity, 127 lesions in auriculoventricular bun- dle in, 127 mechanism of, 125 myogenic origin of, 125 neurogenic origin of, 125 occasional conlusion with Adams- Stokcs disease, £83 occurrence of, 124 palpitation, 128 pathological physiology of, 128 physical signs, 129 precordial pain in, 128 rise of venous pressure in, 125 sino-auricular block, 569 stimulation of vagi in, 132 sudden exercise in, 132 swallowing in, 132 svmptoms of, 128 theories as to origin, 132 treatment of, 132 tricuspid insufl5cicncy in, 130 types of, 126 venous pulse in, 125 vomiting in, 133 Parry's disease (see Basedow's disease) Passive movements, 280 Patent foramen ovale, 550 pathogenesis of, 550 Pathological condition?, variations in blood- pressure under, 38 Percussion, 156 errors in, 158 methods of, 157 Perfusion of excised mammalian heart, 4 Periarteritis, diffuse, 352 nodosa, 349 Pericarditis, 590 adhesive (see Adherent pericardium), 610, 614 blood-pressure in, ^0, 595 etiology of, 590 exudation, forms of. 591 friction at back in, 595 sound in, 594 hiccough in, 593 hoarseness in. 593 pain on swallowing in, 593 precordial pain in, 593 purulent, 603 728 INDEX Pericarditis, simple fibrinous, 593 di^gnosiB of, 595 prognosis in, 597 treatment of, 596 signs of, 593 symptoms of, 593 tuberculous, 604 fluid in, 604 with effusion, 597 amount of fluid^ 597 blood-pressure m, 601 cardiac outline, 599 drainage in, 607 Ebstein's cardiohepatic angle in, 599 effect on circulation, 597 enlargement of liver from, 600 fulness of interspaces in, 599 irrigation of pericardium in, 608 paracentesis of, 605 position of heart in, 600 Rotch's sign in, 599 signs at back in, 600 signs of, 599 symptoms of, 598 treatment of, 605 X-ray examination of, 601 Pericardium, adherent, 389, 610 development of, 530 Peripheral resistance, 66 Peritonitis, blood-pressure in, 48 Petechia in endocarditis, 406 Phenolsulphonphthalein test for renal in- sufficiency, 225 in chronic hypertension, 42 in myocardial weakness, 330 Phosphorus poisoning, effect of, on heart in fatigue, 202 Photojp-aphic record of the venous pulse, 75 Phthisis, blood-pressure in, 48 Physiological conditions, variations in blood- pressure under, 37 Physical examination, 152 Physico-chemical phenomena, rhythmicity in, 1 Pigmentation in hjrperthyroidism (Jellinek's sign), 680 Pituitary extract, 268 Placenta, vessels to, 526 Pleurisy, blood-pressure in, 50 Pleuropericardial friction, 594 Pneumococci as causes of endocarditis, 402 Pneumonia as cause of pericarditis, 590 blood-pressure in, 48 interstitial, 222 Pneumopericardium, 604 Polycythsemia, blood-pressure in, 41 Polyuraph, Gibson. 74 Mackenzie, 73, 74 Marev, 73 Uskoff, 30 Position, changes in, 161 effect of chanire of, on blood-pressure, 37 on electrocardiogram, 93 Posture, effect of, on pulse-rate, 210 Potassium iodide, 272 effect of, on viscosity of blood, 60 for aneurisms, 662 in angina pectoris, 393 in arteriosclerosis, 364 mode of administration, 272 supposed effect on viscosity of blood, 272 salts, effect of, on cardiac contraction, 2- thiocyanate, 274 therapeutic use of, 274 Precordial pain, 226 in angina pectoris, 383 in cardiac overstrain, 192 in h)rperthyroidism, 687 in pericarcutis, 593 Pregnancy and labor, pulmonary oedema in, 515 aortic disease in, 521 as cause of Basedow's disease, 680 blood-pressure in, 41 broken compensation in, 518 effect on pulse and blood-pressure, 515 hypertrophy during, 515 termination of, 520 in broken compensation, 519 treatment of heart lesions during, 518 tricuspid insufficiency during, 516 Presphygmic period, 10 Pressure pulse, 68 Presystolic gallop rhythm, 172 resemblance to mitral stenosis, 452 rumble, disappearance and reappear- ance of, in mitral stenosis, 444 (Flint's) in aortic insufficiency, 473 in mitral stenosis, 446 in tricuspid stenosis, 511 Protodiastolic gallop rhythm, 173 Pseudo-anginal pain, 387 Pseudo-aortic insufficiency, 469 Pseudo-cardiac disturbances, 696 Psychic disturbances, 228 Psychotherapy in Basedow's discr.sc, 689 Puerperal infection as cause of Basedow's disease, 681 Pulmonary area, 168 artery, aneurism of, 659 blood-pressure in, 168 blood-pressure in, before birth, 51 development and maldcvclopment of, 536 sclerosis of, 362 vasomotor nerves in, 52 circulation, 51 action of drugs on, i2 embolism, 219 hemorrhage, 219 insufficiency, diagnosis of, 496 diastohc murmur in, 395 etiological factors, 493 forms of, 492 functional, 492 hsemoptysis in, 492 pathological physiology, 493 prognosis in, 496 INDEX 729 Pulmonary ibsuffioiency, pulse in, 495 signs of, 494 symptoms of, 494 treatment of, 496 with pulmonary stenosis, 544 oedema, 219 artificial respiration in, 219 in mitral stenosis, 458 in pregnancy and labor, 516 signs of, 219 treatment of, 219 pressure, 52 conditions affecting, 52 stenosis and atresia, causes of, 534 diagnosis, 545 due to endocarditis, 534 due to maldevelopment of branchial arches, 535 duration of life in, 545 statistics of, 534, 545 in open interventricidar septum, 537 pathological physiology of, 539 systolic murmur, 543 treatment of, 545 with patent interventricular sep- tum, 537, 541 Pulsations, inspection of, 642 over chest, 156 over veins, 71 Pulse, anacrotic, in aortic stenosis, 488 arterial, 63 characteristics of, 26 curve, significance of, 66 dicrotic, 63 discrepancies in examining, 65 examination of the, 63 form, 66 in aortic insufficiency (Corrigan, water- hammer, collapsing), 474 pressure, 68 qualities of the, 63 rate, 69 effect of ice-bag on, 233 effect of posture on, 210 relation to temperature, 69 in soldier's heart, 210 Riegel's, 103, 135 types of, 68 anacrotic, 68 bisferiens, 68 collapsing, 68 dicrotic, 08 hyperdicrotic, 68 normal, 68 tardus, 68 venous, 71 volume, 68 wave, inequality and delay of, in aneu- risms, 644 Pulse-pressure, 26 Pulsus altemans, 135 contractility diminished in, 106 bisferiens, 69 irregularis perpetuus, 118 paradoxus, 103 tardus in aortic stenosis, 484, 487 Pupils, inequality of, in aneurism, 643 Purgation, 237 in broken compensation. 237 rise of venous pressure auring, 237 Purgatives, 237 Quiet in treatment, 231 Iladiograi}hs, stereoscopic, 149 technique of, 149 Rarefied air, inhalation of, 242 Hajrnaud's disease, 372 pathology of, 373 Rectal aoministration of digitalis, 258 Reduplicated heart sounds, 170 Re-ecfucation of heart muscle in mitral in- sufficiency, 436 Referred pains in angina pectoris, 385 Reflex cardiac disturbances, 705 air-swallowing in, 705 associated symptoms, 705 gastro-intestinal, 705 Relative insufficiency, 422 Renal complications of cardiac diseases, 224 Residual blood, 15 Respiration, method of recording, 73 paradoxical type, 700 Respiratory ratio, 218 in adherent pericardium, 614 Rest in bed, 232 Retina, arteriosclerosis of, 358 dilatation of veins of, in tricuspid insuf- ficiency, 502 Retinal changes in congenital heart disease, 542 Rheumatic fever as cause of pericarditis, 590 foci of myocarditis in, 316 Hheumatism, blood-pressure in, 48 cocci causing, 400 Rhjrthmicity, physico-chemical phenomena in, 1 Riess' sign of adherent pericardium, 616 Right ventricle, tonicity of, 53 work of the, 51 Rise of blood-pressure on constricting the femoral arteries, 210 notch's sign of pericardial effusion, 599 Rupture of aneurism, 637 "Safety-valve" action of tricuspid valve, 499 Sajodin, use of in cardiac disease, 272 Salts, restriction of, 236 r61e of, in origin of heart beat, 2 Salvarsan, use of in cardiac disease, 273 Sauerbruch chamber in operations on heart, 627 Scarlatina as cause of endocarditis, 402 blood-pressure in, 48 pericarditis from, 591 Schott movements, 280 effect of, in reducing cardiac dila- tation, 283 precautions in, 281 Socond sound, 166 wind, 198 730 INDEX Sensory stimulation, effect of, on blood- pressure, 38 Septum auriculorum, 628 interpositum, 529 ventriculonmi, 529, 546 patent, eflfect on circulation, 648 prognosis in, 549 signs of, 547 symptoms of, 547 systolic murmur in, 548 trauma as cause of, 546 treatment of, 549 tuberculosis in, 546 Sexual cardiac disorders, 707, 709 excess as cause of Basedow's disease, 681 Shock, acapnia in, 49 blood-pressure in, 48 diastoUc, over aneurism, 656 Sino-auricular block from cooling sinus, 5 in mammals, 105 in paroxysmal tachycardia, 127 node of Keith and Flack, 6 Sinus allorrhythmias. charactciistics of, 1G3 as "pace-maker of the heart, 5 region in mammals, anatomy of, 6 reuniens, 528 rdle of, in mammals, 7 wave on venous pulse, 79 Situs transversus, 560 Skull, fracture of the, blood-pressure in, 40 Sleej), effect of, on blood-pressuie, 38 importance of, 231 Smallpox as cause of endocarditis, 402 Smoke, tobacco, composition of, 710 Smoking, effect of, on circulation, 711 precordial pain from, 711 Snapping first soimd in aortic insufficiency, 473 in mitral stenosis, 447 Sounds, alteration of, by pressure, 167 in arteries, 184 over veins, 184 Southey's tubes, 223 Spa treatment, 232 Sphygmobolometer, Sahli, 30 Sphygmogram, the absolute, 65 Sphygmograph, clinical, 63 Dudgeon, 64 V. Jaquet, G4 Marey, 64 Roy and Adami. 65 Sphygmography, errors in, 64 Sphygmomanometer, v. Basch, 26 "Erlangcr. 28 Gibson, 30 Hill and Barnard, 27 Laudor Bnmton, 32 Marev, 26 Paclum, 32 Potain. 27 v. Rocklinghflusen, 26 Riva-Rorci, 27 Tyros, 32 Sphygmosrope, P«1, 30 Sphyginotonometer, v. Recklinghausen, 32 tskoff, 30 Splanchnoptosis, 699 abdominal binder in, 701 air-cushion for, 702 blood-pressure in, 700 corset in producing, 701 effect on circulation, 700 effect of, on respiration, 699 level of diaphragm, 699 overfeeding in, 702 pulsus paradoxus in, 701 8>Ticope from, 700 tracheal tug in, 700 treatment of, 701 Split sounds, 171 albuminous in pulmonary oedema, 219 Sputum, prune-juicc, 220 Squills, 248, 253 Stair climbing, beneficial effects of graded pauses, 283 Stasis, effect of, on producing cardiac oedema, 206 Stellwag's sign in Basedow's disease, 684 Stenosis of isthmus of aorta, 557 Sterilization of patients with broken com- pensation, 521 Stethoscope, binaural, essentials of, 167 differential, 167 monaural, 166 telephone, 162 Stomach, sounds over, in adherent pericar- dium (Riess), 616 stoppage of ventricles, 570 in Adair.s-Stokes disease, 576 Strain, effect of, on the heart, 204 exercises of, 2C0 Streptococcus, in endocarditis, 401 in myocarditis, 310 viridans (endocarditis cocci) in chronic endocarditis, 409 Strophanthin, 248, 259 Strophanthus, 247, 253 Strychnine, 262 and digitalis, 415 clinical effects, 202 effect on blood-pressure, 262 effect on cardiac tonicity, 262 in cardiac dyspncrr., 217 indications for, 2(i2 pharmacological rction of, 262 preparations of, 2C2 Sudden death in cnrins"- pectoris, 386 from emotion, 713 Suture of blood-vcFscls for thromboangitis obliterans, 377 of wounds in heart, 026 Swimming, effect of, on heart, '201 Sympathectomy in Basedow's disease, 691 Sympathetic nerves, relation to exophthal- mos, 68-1 stimulation by thjToid secretion, 679 Sympathicotonic, 19, 368 m Basedow's disease, 680 Symptoms of adherent pericardium, 613 of cardiac disease, 215 INDEX 731 Sjmcope in paroxysmal tachycardia, 131 in Adama- Stokes disease, 565 from extrasystoiic arrhythmia, 584 Synechia; pericardii, 610 Syphilis as cause of arteriosclerosis, 346, 353 as cause of endocarditis, 403 in etiology of aneurism, 632, 636 of the myocardium, 334 with precordial pain, 334 Systole, outflow during, 11 treatment of, in cardiacdiseases, 272, 273 Wassermann reaction in, 335, 463 Systolic murmur in mitral insufficiency, 430 retraction along left cardiac border, 428 retractions over heart, 155 Tabagism, 710 Tachycardia, paroxysmal, 124 heterogenetic auricukr, 120 Tea, effect of, 712 prohibition of, 237 Teleroentgenography, 148 Tests, functional, of cardiac efficiency, 2C0 Theobromine, 266 in angina pectoris, 2C0, oD4 Theocin, 266 Theophylline in angina pectoris, 394 Theories of heart-beat, 4 myogenic, 4 neurogenic, 4 Third heart sound, frequency of, in norn:j 1 individuals, 175 in adherent pericardium. CIO in aortic insufficiency, 473 in mitral stenosis, 449 meclit nism producing, 174 Thread galvanoir.eter, 82 Threshold percussion, 157 Thrill, systolic, in aortic stenosis, 486 in congenital heart disease, 543 in mitral insufficiency, 429 Thrills, mechanics of, 156 Thrombi in cardiac chambers, 333 in mitral stenosis, 333 Thromboangitia obliterans, 374 differentiation from nngcicmcuic- ses, 374 Thyroglobulin, 676 Thyroid gland changes in Basedow's discrjc, 686 size of normal, 686 heart, 674 formes frustes, 674 from pressure, 674 (hypothyroidism), 675 in simple goitre, 674 secretion (see Hyperthyroidism), 679 of thvroglonulin and iodothyrin, 676 physiological effects of, 677 relation to histological structure, 676 Thyroidectin, 689 Th>Toidectomy, 690 Tobacco angina, 391 effect of. on circulation, 711 on coronary cirotjlation, 712 '•Tobacco heart," 710 precordial pain from, 711 prohibition of, 237 smoke, composition of, 710 Tonicity, effect of digitalis on, 252 effect of, on cardiac overstrain, 203 on residual blood, 2(>3 factors producing changes in, 16 of the cardiac muscle, 13 of the heait in mitral insufr.ciency, 427 of the right ventricle, 53 Tonograph, 30 TonsUlectomv in endocarditis, 417 in mitral insufficiency, 436 Tonsillitis as cause of Basedow's disease, 681 as cause of endocarditis, 416 Tonus (see Tonicity) Tortuous arteries, 358 Tracheal percussion shock in aneurism, 643 tug in aneurism, 043 Training at end of trcctment, 285 effect of, 198 Trauma as car.sc of tkcrccic cneurism, 636 cardiac, 623 lesions due to, 629 of heart, 628 Treatment of heart failure, general princi- ples, 231 relation of, to occi puticn, 285 Tricuspid urea, 1C8 Tricuspid insuli ciency, arrhythmia in cases of, 504 blood-pressure in, 504 di::gnosis of, 506 effect on circulation, 499 function::!, 498 in paroxj-smal tachycardia, 130 organic, 498 pathological physiologj', 499 pulse in, 504 sympton.s of, 501 systolic murmur in, 502 treatment cf, 50t) variations in murn:ur, 503 vcnoi s pulse in, 500 stenosis, rCS cyanosis in, 510 diagnosis cf, 511 effect on the circulation, 509 etiologv' of, 5C8 occurrence of, 508 pathology' of, 509 presystolic ruml le in. 51 1 pulmonar>' infarction in. 60 Volume curve, method of recording, 11 Vomiting, blood-pressure in, £0 Von Gracfe's sign in Basedow's disease, 684 Walking in treatment of heart lesions, 283 regulation of speed and respiration, 284 Water-hammer pulse, 68 Weather, effect of, on cardiac symptoms, 215 \Miiskey in cardiac disease, 236 Wiring treatment of aneurism, 662 Work hypertrophy, 294 of the heart, 36 right heart, 51 Worry, effect of, on circulation, 713 Wounds of the heart, 623 control of henrorrhage from, 627 results of operation, 628 suture of, 626 Wrestling, effect of, on the heart, 201 Xiphisternal line as sign of level of dia- phragm, 699 X-ray, cardiac shadow, 133 examination in oblique axes, 134 of adherent pericardium, 617 of sclerotic arteries, 358 magnification of shadow, 132 methods of examination, 132 oblique illuminations, 133 pulmonary shadows, 133 shadow in aneurism, 646 Zander exercises, 283 LANE MEDICAL LIBRARY :, this book should be returned on or before the date last stamped below. lOV 25 1. 