Principles of Diagnosis And Treatment in Heart Affections

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Prognosis.
From the description given of auricular flutter it will be seen that it may impair the functional efficiency of the heart, but is not in itself a dangerous condition. When danger arises, it is in a heart which is already the seat of somewhat extensive disease, especially when affecting the ventricle or valvular disease with impaired ventricles. Hence, the already weakened heart is unable to cope with the burden thrown upon it by the abnormal rhythm. In giving a prognosis, each case m
...ust be care- fully studied by itself, and the condition of the ventricle and the valve defects estimated, particularly the manner in which the efficiency of the circulation is maintained, before and after the inception of the abnormal rhythm, and the response to digitalis. There is danger when attacks of loss of consciousness arise, due to the rapid and inefficient action of the ventricle, with grave signs of heart failure. One patient whom I saw had an attack with congestion of the lungs, and died 24 hours later during a second attack.

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