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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    (7) A labourer, aged 35. Had suffered from cardiac pain, e.'ctendiiig into the upper part of the chest, for eight weeks. There was general dilatation of the heart, which weighed 32 ounces. The descending branch of the left coronary artery was atheromatous. The valves were normal in structure, and, beyond passive hyperaemia of the viscera, no other lesion was discovered. The case was clearly cardiac throughout. (8) A labourer, aged 46. He liad suffered from cardiac pain, lividity, and dyspnoea, for nine weeks, the symptoms being regarded as those of chronic bronchitis. The heart was generally dilated, weighing 17 ounces. The valves were normal in structure, and the orifices only moderately dilated. The left coronary artery was markedly atheromatous. In this case the cardiac lesion was practically the only primary one. (9) A tailoress, aged 24. The case was one of very characteristic angina pectoris, paroxysmal pain beginning under the left nipple and shooting into the left shoulder and arm, the attacks being associated with paroxysms of dyspnoea. The duration of the symptoms was unknown, and the signs were those of aortic obstruction and regurgitation. Post-mortem examination revealed aortic valve disease, obstruction of the orifice of the right coronary artery, and extensive atheroma of the aorta. (10) A housewife, aged 46. Kheumatic fever at the age of 19. She suffered from cardiac pain and palpitation for a month before admission. On inspection there was found stenosis of the mitral and tricuspid orifices, with atheroma of the left coronarv arterv. *j (f>) With Fibroid Disease (Fibrous Transformation). (1) A clothlapper, aged 66, He had suffered from mucli precordial pain, with symptoms of Hright’s disease, for about three months. The ])OSt-mortem examination revealed calcified coronary arteries, with obstructed lumen, especially of the left, and extensive fibroid disease in the areas of distribution of the obstructed vessels. There was also a slight recent adhesive pericarditis, which was not regarded as sufficient to have accounted for all the pain.