The attacks pain may the sole obstacle fairly rapid walking report writing help for students or other exercise, although many have severe dyspnea aside from the pain.

In general the indications cardiac insufiiciency caused the conditions have been considering may pain, dyspnea, sleeplessness, drowsiness, pronounced mental symptoms, Cheyne-Stokes respiration, custom essay org Stokes-Adams syndrome, cyanosis, pallor, edema, albumin and tube casts in the urine, evidence hypertrophy and dilatation the heart, and appearance bradycardia, arrhythmia, gallop rhythm and various murmurs, and an indigestion due the passive congestion in the liver, stomach, and other digestive organs after the heart power fails. Yet in certain cases none these symptoms recognized, since the patient dies suddenly, while others have them in various groupings. Of these the DISEASES OP THE CIRCULATORY SYSTEM anginal and Stokes-Adams types are the most distressing and the Fr nosi. Nothing more uncertain than a prognosis in eases this group, since cannot know how serious the dissertation consulting myocardial degeneration. The prognosis in all bad, but better in some than in others.

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Favorable features are predominance the signs hypertrophy over those dilatation, absence arrythmia, tachycardia, gallop rhythm, and anginal attacks. FXJNOTIONAL DISEASES OF THE HEART By this term meant such disorder the heart action that the subject becomes conscious This action generally rapid and forcible, and in many cases irregular as well. The causes the latter feature will discussed dissertation introduction later.

It should understood that a much disordered heart action may present, but not perceptible the patient, while the other hand the patient complains distress from this source, but no trouble can found the physician. Etiology.

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It a disease more especially females, and particularly those with an excitable nervous system. The hysterical and neurasthenic are especially subject functional heart disorders. Given this preliminary condition, almost anything may act as the exciting cause.

Attacks at the menstrual period are common, and in general the time puberty and the climacteric are especially favorable for its development.

Worry, anxiety, domestic troubles, fright, loss sleep, the consequent weakening the general strength, and frequently the use tea and coflFce overcome the feeling exhaustion common in these subjects, may the exciting causes. In men tobacco probably the most frequent single cause. research paper thesis help It must not overlooked in women, as I have seen attacks in them due cigarette smoking, pipe smoking, the chewing tobacco, and the use snuff. The three latter methods use are frequently wholly unknown even intimate friends.

Alcohol a common cause in both sexes. Slight causes may bring an attack palpitation after FUNCTIONAL DISEASES OP THE HEART the exhaustion acute disease, especially typhoid. A single cigar in convalescence may initiate an attack. In soldier's heart DaCosta, the attacks violent over-action lead hypertrophy the heart, the neurotic over-action being a prominent feature in producing His cases ere generally connected with the excitement and over-exertion the soldier's life, and with diarrhea, but in the rather unusual cases presenting at the present time neither overwork nor digestive disturbances may traceable, yet the hypertrophy from overaction well marked. A most important cause palpitation indigestion, especially the type associated with the presence gas in the stomach. The heart condition appeals much more strongly the patient's mind than the less obtrusive gastric condition that commonly feels sure that has organic cardiac disease. 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