《Diagnosis and Treatment of Cardiovascular Disease Volume 2》

CHAPTER 30．CORONARY DISEASE INCLUDING ANGINA PECTORIS＆By William D．Stroud，M．D．，and Morris W．Stroud，3rd，M．D1001

Etiology1005

Diagnosis1008

Treatment1014

Prognosis1021

CHAPTER 31．RELIEF OF PAIN IN ANGINA PECTORIS＆By Francis C．Grant，M．D1023

Anatomy and Physiology1023

Blocking of Sensory Pathways1024

CHAPTER 32．NOURISHMENT OF THE HEART BY CHANNELS OTHER THAN THE CORONARY ARTERIES＆By Samuel Bellet，M．D1033

Extracardiac Anastomoses1035

The Thebesian Vessels1035

Nourishment by Reversal of Flow in the Cardiac Veins1037

Artificial Production of an Accessory Circulation of the Heart Muscle1038

Summary1039

CHAPTER 33．DISTURBANCES OF THE HEARTBEAT＆By George R．Herrmann，M．D1041

Classification of Disturbances of the Physiological Mechanisms of the Heartbeat1049

Sinuatrial Sinus Tachycardia1052

Sinuatrial Sinus Bradycardia1059

Sinuatrial or Sinus Arrythmia1067

S-A，Ectopic，or A-V Nodal Regular Rhythms1070

Atrioventricular Rhythm1071

Heterogenetic，Ectopic，Regular，and Irregular Rhythms1074

Extrasystolic Arrhythmia，Extrasystoles，Ectopics，Premature Contractions or Systoles，Intermittency of the Pulse1075

Paroxysmal Tachycardia1082

Disorders of Impulse Conduction1090

Syndrome of Asystolic Syncope1096

Bundle Branch Block1100

Alternation of the Pulse1103

False Bundle Branch Block，Aberrant Atrioventricular Conduction Accelerated A-V Conduction，The Bundle of Kent，or the Wilson，Wolfe，Parkinson，and White Syndrome with Paroxysms of Pseudoventricular Tachycardia or Fibrillation1105

The Most Serious Ectopic Heterogenetic Rhythms1108

Atrial Fibrillation1113

CHAPTER 34．PSYCHOSOMATIC ILLNESS＆By Joseph Hughes，M．D1121

CHAPTER 35．PSYCHOSOMATIC ASPECTS OF CARDIOVASCULAR DISEASE＆By Edward Weiss，M．D1131

Anxiety and the Heart1131

＂Functional＂Heart Disease1132

Symptoms1133

Treatment1137

Neurocirculatory Asthenia1141

Hypertension and Anxiety1145

Anxiety and Organic Heart Disease1146

Emotional Problems of Myocardial Infarction1148

Psychosis in Cardiac Disease1048

CHAPTER 36．TRAUMA OF THE HEART＆By Hugh Barber，M．D1151

Disorders of Rhythm1152

Auricular Fibrillation1152

Auricular Flutter1153

Extrasystolic Arrhythmia1153

Heart Block1154

Ventricular Fibrillation1154

Disorders of the Heart Rate1154

Valvular Disease1155

Contusion of the Heart1158

Wounds of the Heart1163

Primary Cardiac Overstrain1163

Trauma of the Heart and Compensation1166

CHAPTER 37．SHOCK＆By Norman E．Freeman，M．D1169

Definition1170

Clinical Picture1171

Pathology1173

Physiology1173

Chemistry1177

Etiology1179

Prognosis1182

Treatment1182

Conclusions1191

CHAPTER 38．RECENT ADVANCES IN REHABILITATION OF THE PATIENT WITH CARDIOVASCULAR DISEASE＆By Howard A．Rusk，M．D．，and Joseph G．Benton，M．D．，Ph．D1195

CHAPTER 39．FORM OF THE ELECTROCARDIOGRAM＆By F．D．Johnston，M．D．，and E．W．Reynolds，Jr．，M．D1207

Normal Electrocardiogram1207

The P-R Interval1208

The Q-R-S Interval1209

The Q-T Interval1209

Size of Deflections1210

Discussion of Electrocardiographic Leads1210

Intraventricular Block1218

Ventricular Hypertrophy1221

Abnormally Large or Small Q-R-S Deflections；Notching of Q-R-S1224

The T Deflection and the Ventricular Gradient1225

Myocardial Infarction1226

Angina Pectoris1231

CHAPTER 40．ELECTROCARDIOGRAPHY＆By Samuel Bellet，M．D．，and Thomas M．McMillan，M．D1235

Introduction1235

The Role of the Electrocardiogram in Cardiac Diagnosis1235

The Instrument and Method1236

The Normal Electrocardiogram in the Three Limb Leads1238

Abnormalities and Variation of the Individual Waves in the Limb Leads and Certain Time Intervals1244

The Arrhythmias1258

The Normal Mechanism1258

Classification of Arrhythmias1259

Sinus Arrhythmia1259

Sinoauricular Heart Block1261

Prolonged Sinus Pauses(Cardiac Standstill)1261

Auricular Extrasystoles1261

Auricular Paroxysmal Tachycardia1263

Auricular Disturbances Dependent on a Circus Movement1264

Auricular Standstill1270

Auriculoventricular Heart Block1270

Auriculoventricular Nodal Rhythm1273

Ventricular Extrasystoles1277

Ventricular Paroxysmal Tachycardia1279

Ventricular Fibrillation1281

Pulsus Alternans1282

Intracardiac Electrocardiography1282

Esophageal Leads1292

Unipolar Limb Leads1294

Patterns Observed in Unipolar Limb Leads1300

The Value of Unipolar Limb Leads1304

The Precordial Leads1305

Standardization of the Precordial Leads1305

Physiologic Considerations concerning the Use of Precordial Leads1309

Significance of the Electrocardiographic Deflections(Bipolar and Unipolar Leads)1311

The Normal Precordial Leads1313

Abnormalities in the Precordial Leads1314

Additional Precordial Leads1317

Significance of Tall R Waves in the Right Precordial Leads1318

Myocardial Infarction1334

Coronary Insufficiency1367

Pulmonary Embolism1370

Acute Pericarditis1372

Unstable T Waves；Effect of Posture on the Electrocardiogram1373

The Electrocardiogram in Altered Metabolic States1375

Electrocardiogram in Infections and Intoxications1379

The Electrocardiogram in Hypertension，Chronic Nephritis，and Uremia1383

The Electrocardiogram in Avitaminosis1384

The Electrocardiogram in Anemia1385

The Electrocardiogram in Congenital Cardiac Anomalies1385

The Electrocardiogram in Pregnancy1386

The Electrocardiogram in Syncopal Attacks1386

Artefacts in the Electrocardiogram1388

Procedure in Interpretation of Electrocardiographic Records1389

CHAPTER 41．THE BALLISTOCARDIOGRAM＆By Isaac Starr，M．D1397

Introduction1397

History1397

Instruments1397

The Record and Its Genesis1401

Clinical Studies1406

Utility of the Ballistocardiogram1412

CHAPTER 42．ROENTGENOLOGY OF THE HEART AND GREAT VESSELS＆By Harry E．Ungerleider，M．D．，and Richard S．Gubner，M．D1417

Methods of Examination1417

Cardiac Enlargement1434

Cardiac Measurements1448

Measurement of the Aorta1459

The Pulmonary Vessels1461

Specific Types of Heart Disease1465

CHAPTER 43．THE HEART IN DIPHTHERIA AND OTHER CONDITIONS＆By Joseph A．Wagner，M．D．，and John E．Strang，M．D1513

Diphtheria1513

Trypanosomiasis1515

Virus Diseases1515

Rickettsial Diseases1518

Bacterial Diseases1518

Fungus Diseases1523

Myocarditis1524

Trichiniasis1526

Neoplasms of the Heart1527

CHAPTER 44．PERIARTERITIS NODOSA＆By Marion A．Blankenhorn，M．D1531

CHAPTER 45．THROMBOANGIITIS OBLITERANS(BUERGER＇S DISEASE)＆By Orville Horwitz，M．D1539

CHAPTER 46．ERYTHERMALGIA(ERYTHROMELALGIA)OF THE EXTREMITIES＆By J．Earle Estes，Jr．，M．D．，and Edgar V．Allen，M．D1547

CHAPTER 47．LYMPHEDEMA OF THE EXTREMITIES＆By Edgar V．Allen，M．D1555

Noninflammatory Lymphedema1556

Inflammatory Lymphedema1558

Differential Diagnosis1561

Medical Treatment1562

Surgical Treament1564

CHAPTER 48．SUDDEN EMBOLISM AND THROMBOSIS OF ARTERIES OF THE EXTREMITIES＆By J．Earle Estes，Jr．，M．D．and Edgar V．Allen，M．D1567

Recurrent Acute Arterial Occlusion1578

Efficacy of Medical Treatment1578

CHAPTER 49．THROMBOPHLEBITIS＆By Nelson W．Barker，M．D1581

Complications and Sequelae1589

Treatment1591

CHAPTER 50．ACQUIRED ARTERIOVENOUS FISTULA，TEMPORAL ARTERITIS，AND ANEURYSM＆By Edgar H．Hines，Jr．，M．D1597

Acquired Arteriovenous Fistula1597

Temporal Arteritis1601

Aneurysm1604

CHAPTER 51．ARTERIOSCLEROSIS OBLITERANS＆By Jerrold S．Lieberman，M．D．，and Irving S．Wright，M．D1613

CHAPTER 52．RAYNAUD＇S SYNDROME；ACROCYANOSIS＆By Irving S．Wright，M．D1637

Raynaud＇s Syndrome1637

Acrocyanosis1645

CHAPTER 53．VARICOSE VEINS＆H．O．McPheeters，M．D1649