While this subject has been thrashed over and ground up before various medical societies and by numerous eminent authorities, there yet remains much to be done in the crystallizing and refining process. What I have to say may seem erratic and dogmatic to some, but I shall try to show by reason of the anatomic location and the physiologic action of the mitral and aortic valves, that in mitral insufficiency when compensation has failed or is failing digitalis is the sheet anchor, the general in command, while in aortic insufficiency with the same condition, it too often plays the rôle like the soldier, Jack Falstaff, of old.
In treating any heart lesion the careful clinician must study closely the cardiac state and the condition of the blood vessels, and he must take into consideration the various organs that are complicated.
The mitral valve, located as it is, at the gateway between the great arterial reservoir, the left auricle and the great
JONES F. THE LIMITATION OF DIGITALIS IN MITRAL AND AORTIC REGURGITATION. JAMA. 1904;XLIII(14):935–936. doi:10.1001/jama.1904.92500140001b
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