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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    marked, and the whole heart was greatly enlarged, weighing 29 ounces. There was atheroma with dilatation of the arch of the aorta. The coronary arteries were healthy. 11. CORONARY ARTERIES DISEASED-102 CASES. In analyzing the 102 cases in which the coronary arteries were recorded to be diseased, 1 shall subdivide them into two groups, viz.: {a) Cases in which there was no fibroid disease (fibrous transformation) of the heart muscle; and {h) Cases in which this change was present. I think this a convenient subdivision, as presenting under one section all the cases of fibroid disease, a lesion frequently, though not so frequently as I formerly thought, associated with coronary artery disease or obstruction. {a) Coronarij Arteries Diseased ivithout Fibroid Disease {Fibrous Transformation) of the Heart- Wcdl—SO Cases. It is on the whole somewhat dihicult to classify the 80 cases included under this heading, but from a consideration of the records both of the clinical and the anatomical details 1 have endeavoured to diagnose the predominating, and probably primary, malady, and to class the ca.ses acconlingly. This classification is shown in the following table : Table of Primary or Predominating Diseases. . Disease. Cases. Cardiac—Fatty, 3 ; Mitral and tricuspid stenosis, 1 ; Aortic valve disease, 5 j Arterio-sclerosis, 2; Dilatation and hypertrophy, 7; Pericardial adhesion, 1, - - 19 Renal disease, chiefly chronic tubular or interstitial, 16 Cerebral haemorrhage, 8 Cancer—gullet, 3 ; mamma, 1 ; stomach, 1 ] liver, 3 ; uterus, 1; ovary, 1, - - - - - 10 Pneumonia, acute lobar, ----- 6 Bronchitis, 3; bronchiectasis, 2; pleurisy, 1, - - 6 Trauma, 0