Copy 2

A treatise on the diseases of the heart and great vessels, comprising a new view of the physiology of the heart's action, according to which the physical signs are explained / [James Hope].

  • Hope, James, 1801-1841
Date:
1832]
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases of the heart and great vessels, comprising a new view of the physiology of the heart's action, according to which the physical signs are explained / [James Hope]. Source: Wellcome Collection.

    612/662 (page 568)
    Remarks.—The signs of dilatation, were, the feeble impulse, and the short, flat sound of the ventricular systole. The more vigorous impulse occasionally felt, and the strength and tension of the pulse indicated that the muscular power was still considerable: in other words, that the walls of the left ventricle were not attenuated. In a young and robust subject, such a heart produces increased impulse, as in the case of Dolan, XV. The remarkable wheezing of the respiration, led to the suspicion of aneurism or of great dilata- tion of the arch of the aorta, these affections sometimes producing that symptom by pressure upon the trachea. The contra-indications were, the want of strong pulsation, purring tremor, and loud rasping sound above the clavicles. The slight impulse and murmur which existed there, were owing, the former, perhaps to the throbbing of the subclavians; the latter, to the ossification of the interior of the aorta and the dilatation below the innominata. The dilatation of the ascend- ing aorta might have been recognised by tracing the murmur down the sternum, had not the loud- ness of the pulmonic rales rendered this impossible. Dilatation of the bronchi was inferred, because, as he exhibited no signs of phthisis, the pecto- riloquy and gurgling rale could not be attributed to vomice. The idea was, further, countenanced