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February 1928

Les troubles vasculaires dans le tabes.

Arch NeurPsych. 1928;19(2):373-375. doi:10.1001/archneurpsyc.1928.02210080175015

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It is a curious fact, says the author, that in spite of the syphilitic vascular conditions so often found in other diseases, tabetic patients are fairly exempt from cerebral hemorrhage, thrombosis and cardiac accidents. The author, therefore, studied seventy patients from the standpoint of the cardiovascular system. Ringing aortic second sounds were present in only two cases. Aortic insufficiency was present in four cases, and merely a systolic murmur at the aortic area in seven. A few cases of irregular rhythm were disclosed; tachycardia, on the other hand, was unusually frequent, particularly in the later stages. This was not particularly dependent on the shooting pains. The oculocardiac reflex was normal. Palpitation was a frequent symptom, and, occasionally, painful sensations occurred in the chest, somewhat resembling and possibly caused by gastric crises. Objective signs of cardiac insufficiency, however, were rare; acute edema of the lungs and cardiac death were infrequent. The