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dc.contributor.authorCopeland, Paula T.en
dc.date.accessioned2018-05-22T12:50:08Z
dc.date.available2018-05-22T12:50:08Z
dc.date.issued1907en
dc.identifier.urihttp://hdl.handle.net/1842/30926
dc.description.abstracten
dc.description.abstractA not infrequent warning of an approaching circulatory climax is a state of restlessness with mental activity and sense of well- being; an accentuation of this condition may give rise to mental aberrations as previously referred to. At such times arterial contracture would invariably be accentuated with hard pulse and heightened blood pressure.en
dc.description.abstractApparently almost the reverse also predisposes to an attack. I mean when the heart has become temporarily depressed; though this would of course mean lowered systolic pressure. But the attacks which then occurred might be calledastheztic for the characteristics of angina would be less pronounced and there would be alarming collapse and early indication of cardiac failure. This type of attack of angina pectoris may apparently be induced by various depressing influences e.g. after free purgation or depressing drugs such as Calomel.en
dc.description.abstractThe actual attack of angina pectoris may come on with alarming suddenness and with no apparent exciting cause.en
dc.description.abstractUsually however, a distinct disturbing factor can be determined, and the patient is fully conscious of impending distress and anxiously studies its advance, or with delight appreciates that it has been abortive.en
dc.description.abstractAs regards the immediate disturbances inducing an attack - rightly named Angina - I cannot do better than quote from Dr. Gibson's book on "Desiases of the Heart and Aorta" :-en
dc.description.abstract"The exciting causes which induce attacks are for the most part influences capable of inducing conditions of stress. These are sometimes purely mechanical such as are often seen in connection with alimentary disturbances. Dilatation of the stomach or distension of the intestines may bring on an attack, while an unfavourable attitude unconsciously assumed during sleep is enough to precipitate an access. Physical exertion, especially after meals, is the most frequent determining agent. Mental efforts also induce attacks but disturbing emotions, whether of joy, grief or anger, are much more powerful. The influence of external agencies, such as cold and damp, must not be overlooked (especially in the production of one distinct variety this does not apply here)." It seems also probable that certain disturbances of the system may reflex by precipitate an onset. Some toxic substances lastly, have an exciting as well as a predisposing tendency. Tobacco is the chief agent of this group, but tea, coffee, and alcohol also claim their victims.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2018 Block 19en
dc.relation.isreferencedbyen
dc.titleNotes and comments on a case of angina pectorisen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationname[unknown]en


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