Cardiac pain and its relief / by G. A. Gibson.

  • Gibson George Alexander, 1854-1913.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Cardiac pain and its relief / 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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    Cardiac Pain and its Relief. By G. A. Gibson, M.D., D.Sc., F.R.C.P.Ed. The existence of painful subjective sensations in circu- latory disturbances has long been known. In the first decade of last century such symptoms were observed by Morgagni, and about fifty years later described by him. Since that time they have greatly occupied the attention of the physician, but the scientific investigation of the subject has, nevertheless, made but little progress until recently. The sensory disturbances are of different kinds; uneasi- ness, tightness, weight, and oppression are varying degrees of subjective sensation which culminate in a feeling of pain. One and all of these sensory phenomena may be accompanied by sensations of sinking, of fainting, of dying; or attended by feelings of disturbed movement within the chest, of troubles affecting the respiratory processes, and of disorders connected with the cerebral functions. Pain is of very frequent occurrence. Attempts have been made to ascertain the relative proportion of cases in which it is present, and Nothnagel, in a recent investigation of 483 cases of valvular disease under treatment in his wards during seven years, gives the. following results :— Nature of Disease. Sensory Symptoms. Percentages. Present. Absent. Present. Absent. Aortic incompetence, . 69 45 60 40 Aortic incompetence and stenosis, If. 8 68 32 Aortic stenosis, . 2 3 40 60 Aortic and mitral incompetence, . 3 14 18 82 Mitral incompetence, . 14 169 8 92 Mitral stenosis, . 4 18 18 82 Mitral stenosis and incompetence, 20 98 17 83 VOL. XV.—14 ¥.2l'25r6