Case of anomalous cardiac murmur, concurring with fatal cerebral disease / by W.T. Gairdner.

  • Gairdner W. T. (William Tennant), Sir, 1824-1907.
Date:
[1889?]
Catalogue details

Licence: Public Domain Mark

Credit: Case of anomalous cardiac murmur, concurring with fatal cerebral disease / by W.T. Gairdner. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Extracted from the American Journal of the Medical Sciences for August, 1880. CASE OF ANOMALOUS CARDIAC .AIURMUR, CONCURRING ' AVITII FATAL CEREBRAL DISEASE. By W. T. Gaiudnek, AI.D., LL.D., PROFESSOR OF MF.DICINE IN THE UNIVERSITY OF GLASGOW. The following case was incidentally referred to in a discinssion on the subject of the nuirnmr fso-called) of mitral stenosis, arising out of a communication by Dr. AlcVail to the Aledico-Chirurgical Society of Gltisgow, on 1st April, 1887. I then stated that it was the only instance occurring in my experience for a long series of years, tvhich admitted at all of being construed as bearing in the direction of the late Dr, Austin Flint’s theory as to the pre-systolic (auricular-systolic) murmur.^ From this point of view, without dwelling on the case at the time, I was led to remark upon the infrequency of these apparent exceptions (even admitting them to exist) to the more current view which asso- ciates the pre-systolic, or auricular-systolic (A. S.), murmur with con- traction or obstruction of one or other of the auriculo-ventricular orifices; and I also pointed out that Dr. Flint’s theory does not, even if we suppose it to be established, afford any support at all to the view which professes to account for the pre-systolic (or A, S.) murmur as one of regurgitation; while on the other hand it confirms by comprehend- ing or including the current theory, inasmuch as Dr. Flint did affirm, and believed himself to have proved, that extreme regurgitation at the aortic orifice may (though very rarely and occasionally) determine obstruction at the mitral orifice of a functional character, and therefore not demonstrable after death. I should greatly desire that the readers of the present communication would associate it with the discussion now referred to, giving my views on the subject in a discursive fashion ( Medical Journal, tember, 1887, pp. 224-229); or with the subsequent and much more olaborate statements and counter-statements which followed Dr. Dickin- son’s Avell-known reproduction of the regurgitation theory of the A. S. murmur. {Lancet, of successive weeks, from October 1 to November 19, 1887). The importance I attached to the present case was not very great, being limited, in my judginent, both by the brief period of observation,