The senile heart : its pathology, therapeutics and hygiene / by A. Munoz, M.D., Toledo, Spain.

  • Muñoz Páez, A.
Date:
[1896?]
Catalogue details

Licence: Public Domain Mark

Credit: The senile heart : its pathology, therapeutics and hygiene / by A. Munoz, M.D., Toledo, Spain. Source: Wellcome Collection.

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    bonic acid which it contained in excess; and the circulation in these vessels is performed more rapidly, the changes are facilitated, thus affording the fluid better conditions for the nutrition of the organs and a stimulus to the heart itself, whose alterned functions are regularized, as I have been able to ap¬ preciate in cases in which blood-letting gave a sure indication of the condition and a unique one, in my opinion. To restrain is not to proscribe ; and if the abuse of this therapeutic means has done great harm at some epochs, fortu¬ nately now past, we must not fall into the opposite excess. Age is not an obstacle, when there are real and urgent in¬ dications, because the first is always the vital indication, and because aged persons bear blood-letting very well when there is occasion for it. Digitalis.—This is undoubtedly the head cardiacal tonic and the best of the medicaments used in the therapeutics of the senile heart; when there is arithmia, when the cardiacal or arterial pulsations are weak and very frequent; when the pulse is slow; when the venous pressure is much higher than the arterial, and always when with these conditions the muscular fibre of the heart and healthy state of the kidneys are well pre¬ served, digitalis renders great service, and in a considerable number of cases I have had recourse to this remedy, to which I am indebted in many cases to the suppression of heart affec¬ tions and cardiacal alterations among old people. Tachycardia, a phenomenon attacking so frequently the aged heart, and which, when paroxysmal, endangers the lives of the patients, is generally advantageously treated by this means. KING’S HOSPITAL,-—PAROXYSMAL TACHYCARDIA. SKETCHES OF COURSE AND TREATMENT. Fig-. 7.—Leeches applied at anus. Infusion of digitalis at 1 per 103. Fig. 8.—Subcutaneous injection of a hypliodermic Tabloid of Digtalin, 1-100 gr. Fig. 0.—Tabloids Tincture Digitalis. (5 minims per dose.)