The Clinique Volume 14 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1893 Excerpt: ... That the pregnant woman with a diseased heart is exposed to danger from more than one quarter cannot be doubted. Such is the verdict pronounced by men of the highest authority, abroad and in this country; among them I shall cite Olivier, Germain See, Peter, Charcot, MacDonald, Friedreich, Spiegelberg, Lebert, Virchow, Cohnstein, etc. It is also gives me pleasure to mention the excellent thesis of Dr. Ch. Porak, of Paris, a comprehensive work from which I have derived valuable information. A most excellent feature of Dr. Porak's work is a collection of eighty-eight cases in point gathered from the most competent writers and best observers, and the inferences to be derived therefrom are of a highly interesting and practical character. From a careful study of those cases, and a number of others, as well as from similar instances in my own practice, I am enabled to lay down the following conclusions: The nature of grarido-cardiac accidents, by which felicitous expression, Dr. Peter, of Paris, means the accidents to which the pregnant woman is exposed through concomitant heart disease, ranges from the slightest functional disturbances to the gravest organic alterations. In the first category we notice palpitation, syncope, cardiac dyspnoea without any pulmonary complication, dizziness, occasional attacks of pseudo-angina pectoris. A marked tendency to congestion is observable in almost all the organs, but is unquestionably most pronounced in the lungs. These pulmonary congestive spells are frequently mentioned in the collection of cases above, referred to; they occur quite suddenly, and when accompanied by oedema of the lung they assume an extremely serious appearance. Hemoptysis and pulmonary apoplexy are noted among the consequences. In a measure as pregnancies...