The Dublin Journal of Medical Science (123) (Paperback)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: PART III. MEDICAL MISCELLANY. Report, Trantdctiong, and Scientific Intelliyencr. ROYAL ACADEMY OF MEDICINE IN IKKLAND. President?J. Magek Finny, M.D., F.R.C.S.I. General Secretary?James Crah;, M.D., F.R.C.P.T. SECTION OF MEDICINE. President?J. M. Redmond, Pres. E.C.P.I. Sectional Secretary?F. C. Purser, M.D. Friday, November 9, 1906. The President in the Chair. So-called Functional Cardiac Murmurs. Dr. Travers Smith read a paper on the above, dealing especially with the pulmonary systolic functional murmur, or the common " htpmic " murmur. He reviewed the current theories to explain this murmur, and showed how they could all be refuted on;otio- logical, clinical, or autopsical evidence. It was urged that this murmur had been too closely associated with anosmia?in fact it had been generally explained on an anaemic basis. The author laid stress upon the facts that, even apart from anucmia, the murmur was common in neurotic individuals, in those who were " out of training." in connection with many fevers (especially during convalescence), in all of which conditions one might expect a " flabby " state of the body musculature and lowering of tone. In most of his cases the author had established a history of some strain, often inconsiderable to any normal individual. Under these conditions the ventricles of the heart were liable to suffer, especially at the weakest point of their outer boundary wall?namely, the infundibulum. or couus arteriosus. The weak myocardium being strained resulted in incomplete systole or actual dilatation of the infundibulum, the blood bei'ng forced from the body of the right ventricle at systole through the un- obliterated cavity of the infundibulum into the pulmonary artery. This, Dr. Travers Smith submitted, was the cause of the m...