A contribution to the pathology of the coronary arteries of the heart : based upon an analysis of 238 cases in which the condition of these arteries was ascertained after death : with observations upon the relationship of disease of these vessels to sudden death and angina pectoris / by John Lindsay Steven, M.D., Physician and Lecturer on Clinical Medicine, Glasgow Royal Infirmary.

  • Steven, John Lindsay, 1859-1909.
Date:
[1898?]
Catalogue details

Licence: Public Domain Mark

Credit: A contribution to the pathology of the coronary arteries of the heart : based upon an analysis of 238 cases in which the condition of these arteries was ascertained after death : with observations upon the relationship of disease of these vessels to sudden death and angina pectoris / by John Lindsay Steven, M.D., Physician and Lecturer on Clinical Medicine, Glasgow Royal Infirmary. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    1 have already at considerable length, and in ditlerent com- munications published my views on the etiology and histology of filu-oid heart, and shall at present content myself with this reference to these writings:^ Fatty degeneration, - - - - was noted twice. Fatty infiltration, . - - - 55 once. Atrophy, general, ... - 55 once. Atrophy, localized to apex, 55 once. Simple hypertrophy of the left ventricle, ----- 55 5 times. General hypertrophy with dilatation - 55 8 times. Aortic valve disease. 55 twice. Thrombosis of the heart, - 55 3 times. Pericardial adhesion. 55 twice. IMyomalacia cordis, - - - - 55 5 times. Kupture of the heart. 55 once. The foregoing table is of interest as showing that, in addition to the fibroid disease present in all, general en- largement of the heart, and simple hypertrophy of the left ventricle were frequent conditions. In five of the cases also there was myomalacia cordis which in one had led to rupture of the organ. It is likewise noticeable that here, as in the cases unaccompanied by fibrous transformation of the heart-wall, valvular disease per sc is not a very frequent occurrence. Condition ob’ thb: Aorta. Atheroma, - - - - - - - 12 cases. Calcareous plates, . . . . . 2 ., Total, - - - - 14 cases. It is thus shown that when coronary artery disease is associated with fibrous transformation of the heart-wall it is ])roportionally more freipiently associated with atheromatous disease of the aorta. ^Otasfioio Madlral Journal, Series 5, Vol. xxii., p. 41.S, 1SS4. Thv Lancet, Deoemher 10, 17, 24, andRl, 1887. The Journal of Patlioloijy a)id Bactcrioloijy, Vol. ir., No. 2, p. 100, 189:i.