Disturbances of the Heart by Oliver T. (Oliver Thomas) Osborne
page 61 of 323 (18%)
page 61 of 323 (18%)
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forms of angina pectoris, digitalis in small doses may reduce the
frequency of the pain. This decrease of pain following the use of digitalis has in some cases been ascribed to the improvement of coronary circulation and resulting better nutrition of heart muscle. Of course under these conditions the action of digitalis must be carefully watched, and it should not be given too long. Although sodium nitrite and nitroglycerin have but a short period of action, in laboratory experimentation, in lowering the blood pressure, when given repeatedly four or five times a day the blood pressure is lowered in very many instances by these drugs. Sometimes when the blood pressure is not lowered, there is relief of tension in the head from high pressure, and the patient feels better. There is also relief of the heart when it is laboring to overcome a high resistance. One drop of the official spirit of nitroglycerin on the tongue will cause a lowering in the peripheral pressure pulse, the radial pulse becoming larger and fuller. This effect begins in three minutes or less, reaches its maximum in about five minutes, and the effect passes off in fifteen minutes or more. [Footnote: Hewlett, A. W., and Zwaluwenburg, J. G. Van: The Pulse Flow in the Brachial Artery, Arch. Int. Med., July, 1913, p. 1.] It has been stated that iodids are of no value except in syphilitic arteriosclerosis, but iodids in small doses are stimulant to the thyroid gland, and the thyroid secretes a vasodilating substance. Therefore, the use of either iodids or thyroid would seem to be justified in many instances of high blood pressure. Fairlee [Footnote: Fairlee: Lancet, London, Feb. 28, 1914.] has studied the effect of chloroform and ether on blood pressure, and |
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