[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.238.248.103. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
June 15, 1889

MEDICAL PROGRESS.

JAMA. 1889;XII(24):840-842. doi:10.1001/jama.1889.02401010012003

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

On the Prognosis of Heart Disease.  Leyden reverts once more to the question how long the period of complete compensation of a cardiac lesion can last. Supposing, for instance, that in a patient with cardiac lesion the compensation is altered. This alteration admits of three phases:

  1. It is slight and manifests itself only by inability to work.

  2. The trouble of compensation is complicated by dropsy.

  3. Dropsy is accompanied by visceral congestions, asystole, etc.

This latter phase is beyond the physician's skill; only the first and second are susceptible to therapeutic measures.The first question to be asked is regarding the cause of the break in the compensation; whether it is the result of a progress of the cardiac lesion or of an accidental cause: fatigue, excess, overfeeding, additional disease, gravidity, etc. A conclusion of the utmost importance for prognosis may be drawn from the effect of the cardiac medicines, from

First Page Preview View Large
First page PDF preview
First page PDF preview
×