Some hitherto undescribed symptoms in angina pectoris / by G. A. Gibson.

Date:
1905
Catalogue details

Licence: In copyright

Credit: Some hitherto undescribed symptoms in angina pectoris / by G. A. Gibson. 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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    duties for three days, but since then has been unfit for any exertion. The pain has persisted continuously ever since its first onset, but two weeks after it began it underwent a change. At first it was confined to the region of the left scapula, but it afterwards began to shoot down the left' arm, and at the same time it showed paroxysmal exacerbations. The present condition of the patient is as follows :—He is a strongly-built man, 5 ft. 7 in. in height, weighing 10 st. 1 lb., with a healthy, florid complexion. The circulatory system gives evidence of considerable alteration. The patient, as a rule, has a high complexion, except during a paroxysm of pain, wlien he becomes paler. There is some dilatation of the venules on the cheeks and nose, and the temporal arteries stand out in a sinuous fashion, although there is no excessive pulsation in them or in the carotids. The superficial arteries are thick and tortu- ous. The arterial pressure is high at all times; measurec by Hill and Barnard’s sphygmometer.it varies between 160 and 170 mm. Hg. During the paroxysms of pain the pressure Pig. 1. Usual pulse. Pressure 4 oz. rises considerably, but for obvious reasons it is then difficult to obtain an exact measurement. The pulsation is perfectly regular and not unduly frequent; each individual pulsation