Subject(s)
Aortic Valve Insufficiency/history , Phytotherapy/history , Plant Preparations/history , Syphilis, Cardiovascular/history , Aortic Valve Insufficiency/diagnosis , Aortic Valve Insufficiency/drug therapy , Aortic Valve Insufficiency/physiopathology , Digitalis/chemistry , History, 17th Century , History, 18th Century , Humans , Literature, Modern/history , Plant Preparations/therapeutic use , Plants, Medicinal/chemistry , Syphilis, Cardiovascular/diagnosis , Syphilis, Cardiovascular/drug therapy , Syphilis, Cardiovascular/physiopathologyABSTRACT
Boris Wan, a mythical figure of the post war years, just missed the succession of therapeutic advances in cardiology in the mid of the XXth century. A acute articular rhumatism occurred in 1932, as penicillin, discovered in 1928, was not yet on the market. Aortic regurgitation followed. On July 20, 1955, a pulmonary edema occurs as the first case of open-heart surgery with extra corporeal circulation is performed by Charles Dubost in 1955. But only the aortic stenosis may benefit from this surgery. Regarding aortic regurgitation, an artificial valve is necessary. The first Starr-Edwards heart valve is implanted on August 25, 1960. June 23 , 1959, Boris Wan made a sudden loss of consciousness probably due to a ventricular fibrillation. It is this same year that the electric shock is used for the first time, but only in hospital. Boris Wan died during transport to the Laennec hospital. Ambulances were not yet equipped with defibrillator.
Subject(s)
Aortic Valve Insufficiency/history , Cardiology/history , Famous Persons , Literature, Modern/history , France , Heart Valve Prosthesis Implantation/history , History, 20th Century , Humans , MaleSubject(s)
Aortic Valve Insufficiency/history , Cardiac Catheterization/history , Heart Valve Prosthesis Implantation/history , Heart Valve Prosthesis/history , Animals , Aortic Valve Insufficiency/physiopathology , Aortic Valve Insufficiency/surgery , Blood Pressure , Cardiac Catheterization/instrumentation , Disease Models, Animal , Dogs , Heart Valve Prosthesis Implantation/instrumentation , History, 20th Century , Prosthesis DesignABSTRACT
Soma Weiss, a brilliant clinician, researcher, and teacher at Harvard Medical School, cared for Alfred S. Reinhart, who succumbed to subacute bacterial endocarditis in his final year at Harvard Medical School. Reinhart recorded his observations and experiences while a patient in the Thorndike Memorial Laboratory at the Boston City Hospital, and Weiss incorporated these in a paper some 10 years after Reinhart's death. In the tradition of Francis Weld Peabody, Weiss used Reinhart's memoir to emphasize the importance of listening to patients, of projecting sympathy, and of understanding and responding to their psychological needs.
Subject(s)
Endocarditis, Subacute Bacterial/history , Patient Care/history , Physician-Patient Relations , Aortic Valve Insufficiency/history , History, 20th Century , Humans , Male , Massachusetts , Schools, Medical/history , United StatesABSTRACT
The valves of the heart and their diseases have generated a great deal of interest since ancient times. The early observations regarding valvular deformities were confined to the morbid changes with no reference to the hemodynamic significance. The classic clinical signs of aortic valve insufficiency indicating hemodynamic disturbances were described later. The historical background and original descriptions of these classic signs of aortic valve insufficiency are presented.
Subject(s)
Aortic Valve Insufficiency/history , Aortic Valve Insufficiency/classification , History, 19th Century , HumansABSTRACT
El doble soplo crural intermitente como signo de la insuficiencia aórtica: "Las arterias femorales, que son auscultadas con menos frecuencia que las carótidas, ofrecen una valiosa información; son fácilmente compresibles y son más voluminosas que las arterias carótidas, y tienen la ventaja de estar más distantes del corazón...La arteria femoral merece un estudio cuidadoso." "Al comprimir la arteria femoral, se percibe un frémito y la auscultación percibe un soplo intermitente". "El doble soplo intermitente sobre las arterias femorales ha sido descripto en la insuficiencia aórtica, pero no se le ha dado el significado que merece. Es evidente que el segundo soplo está producido en las arterias de los miembros inferiores, por las que refluye la sangre en forma retrógrada, hacia el corazón". "Los ruidos de soplo producidos por la estenosis mitral, la estenosis tricuspídea, y la insuficiencia de la válvula pulmonar, pueden ser diferenciados del soplo de la insuficiencia aórtica con la ayuda del de doble soplo sobre las arterias femorales, el que existe sólo en esta última afección"
Subject(s)
Humans , History, 19th Century , Anniversaries and Special Events , Aortic Valve Stenosis/history , Heart Murmurs , Aortic Valve Insufficiency/history , FranceABSTRACT
El doble soplo crural intermitente como signo de la insuficiencia aórtica: "Las arterias femorales, que son auscultadas con menos frecuencia que las carótidas, ofrecen una valiosa información; son fácilmente compresibles y son más voluminosas que las arterias carótidas, y tienen la ventaja de estar más distantes del corazón...La arteria femoral merece un estudio cuidadoso." "Al comprimir la arteria femoral, se percibe un frémito y la auscultación percibe un soplo intermitente". "El doble soplo intermitente sobre las arterias femorales ha sido descripto en la insuficiencia aórtica, pero no se le ha dado el significado que merece. Es evidente que el segundo soplo está producido en las arterias de los miembros inferiores, por las que refluye la sangre en forma retrógrada, hacia el corazón". "Los ruidos de soplo producidos por la estenosis mitral, la estenosis tricuspídea, y la insuficiencia de la válvula pulmonar, pueden ser diferenciados del soplo de la insuficiencia aórtica con la ayuda del de doble soplo sobre las arterias femorales, el que existe sólo en esta última afección" (AU)
Subject(s)
Humans , HISTORIA DE LA MEDICINA DEL SIGLO 19ABSTRACT
Austin Flint first ausculted the murmur associated with his name in 1859. Suspecting it to be of mitral origin, he identified it as occurring in aortic insufficiency three years later. Recent echocardiographic study has indicated that this murmur is produced by an aortic insufficiency jet colliding with the anterior mitral valve leaflet. Flint was among the first to recognize the importance of normal cardiac and respiratory sounds. He advocated routine auscultation on all patients, and had great influence in popularizing auscultation in American medicine.