Syphilis of the circulatory system : a compilation of abstracts from the Division of venereal diseases compilation no. 6, July 1, 1927 / United States Public Health Service.

Date:
1927
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Licence: Public Domain Mark

Credit: Syphilis of the circulatory system : a compilation of abstracts from the Division of venereal diseases compilation no. 6, July 1, 1927 / United States Public Health Service. Source: Wellcome Collection.

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    decompensation in the nonsyphilitic cases was 2 and in the syphilitic cases 2 plus (valuation on a scale of 0 to 4). | The age incidence in the nonsyphilitic was highest in the third and fourth decades, 83 and 75 cases, respectively; in the syphilitic it was highest in the fourth decade, 74 cases. In the nonsyphilitic group there were 242 males, 82 per cent, and 54 females, 18 per cent; in the syphilitic group there were 142 males, 85 per cent, and 25 females, 15 per cent. There were 78 deaths, 39 per cent, in the nonsyphilitic group on an average of 15.7 months after examination; 95 are alive, 39 improved, 24 unchanged, and 32 worse. In the syphilitic group, 63 patients (46 per cent) died on an average of 15.6 months after examination; 66 are living, oT improved, 14 unchanged, 25 worse. When the cases are grouped according to significant electrocardio- graphic abnormalities the cardiac mortality increases definitely. Cardiac mortality in aortic regurgitation Non- Syph- Electrocardiograph findings 'syphilitiel ilitic Per cent | Per cent T-wave Negatlvity, dearly alone oo scces ses ee ee eee Oe 76 87 Eewave negativity derivation Ivamd hh cae es. se oat ce rs ee seo) _ sae ses eo 67 63: ‘P-wave negativity. deri vahion Ll amd vhhie ico eS a es a ee ees 44 64. T-wavyermecativity: derivation. UL, and TU. 4.5. 2253 ye42 ie. ee ye es es ss 40 88. Composite E=wave megalivaty= > 222 cake ne cea ee ets Maes ee ke ee ee eee 56 76. Aberrant; QR: S..complexes, all derivations.» 4.44: secre bound eeteos La see 2S 86 (1) Airc ctalarvn brill] als as New seh ese a ea oo eg Sa lk Mr i sy We 8 her le 50 (2) Delayed: A-V ‘conductioncl: 2 222.22 Sas 2 lo on At eee Cog eee eee ee Sean oe 69 (3) Withoutieraphic abnormalities: -256 eet... ee ee ee ee a eee 24 SP 1 One case. >» Two cases. 3 Three cases. The authors believe that significant abnormalities in the electro- cardiogram are of distinct prognostic value. Treatment of aortic lues with salvarsan.—E. F. Mueller. Urol. and cutan. rev., St. Louis, 1923, XX VIT, 297. General Hepa: Eppendorf, arlene asa of aortic syphilis. are described which were effectively treated with neosalvarsan begin- ning with dosages of from 0.8 to 0.45 gm. and continuing with weekly injections of 0.6 gm. neosalvarsan until total quantities of from 8 to 10 gm. have been given during the first course. Mercury in one form or another is combined with neosalvarsan. Treatment of syphilitic aortitis by bismuth.—Francis Bordet. Jour. méd. d. Paris, 1923, XLIIT, 216. Twenty-three cases were treated; one was resistant to bismuth. Bismuth must. be given with much prudence. In too large doses, too close together, it may aggravate the functional difficulty and hasten its evolution. . The value of bismuth treatment is known. The results obtained up to this time, however, do not permit one to consider bismuth as: