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10 The Health Bulletin September, 1947 The heart itself may at times act queerly without having anything organically wrong with it. Common, but annoying experiences of this kind are skipped beats, palpitation, and heart-consciousness. Dyspnea on exertion should always be investigated as a symptom of possible weakened heart muscle, or congestion in the lungs which occurs when the left side of the heart is unable to pump adequately all the blood it receives from the right side by way of the lungs. Swelling of the feet and ankles is another early sign of possible heart weakness. Heart murmurs are blowing sounds which have replaced the usual heart sounds which may or may not indicate that something is wrong with the heart. A great many murmurs have little or no importance. Others may indicate that damage has been done to the valves or heart muscle as a result of previous disease. Generally considered, the object of the way of living recommended for persons with heart trouble is the removal of all excessive burdens, especially those imposed my fatigue, obesity, infections, and emotional upsets. Rest and activity should be carefully watched and correlated. Rushing and hurrying should be avoided. One should not walk against a cold wind. Excessive climbing should be avoided. Moderation should be employed when possible. Speed of work should be decreased, fatigue should be minimized, and adequate rest must be insured. Overeating should be strictly denounced as the commonest cause of obesity. Obesity results in an extra strain upon the heart. Excessive smoking of tobacco may cause disagreeable disturbances of the heart beat and may aggravate the symptoms in certain types of heart disease. It is felt that smoking tobacco makes the arterioles tighten up, just as they do under emotional stress, and construction of the arterioles raises the blood pressure. A person with heart disease must take care to avoid the added burden and possible risk of further damage imposed by infections, such as colds, sore throats, pneumonia, and infections of the sinuses and teeth. Cultivation of a serene, optimistic outlook on life helps a great deal in relieving an impaired heart of unnecessary strain. One must give up the excessively fast pace of life, and must learn to go ahead with less speed, haste, worry and fear, and he must accept the situation, and adjust to it cheerfully. The patient with heart disease must learn to accept limitation of physical existence, even to the point of muscular weakness, in order to retard the progress of the disease as much as possible. Death is often preventable, but activity may be so restricted as to make it impossible to earn a living wage. One of the chief problems for ambulatory patients with chronic heart disease is the maintenance of a low sodium intake, and especially the restriction of intake of table salt. Advances have been made in the treatment of certain types of congenital heart disease by means of surgical operations for such conditions as patent ductus arteriosus, coarctation of the aorta, and the tetralogy of Fallot. Recently, interest has been shown in the sympathectomy operation for high blood pressure. In this regard it should be pointed out that candidates for sympathectomy should be carefully selected, because the percentage of beneficial results is about the same as after the use of other methods employed with equal enthusiasm and diligence. Anticoagulants are now being recommended for patients with Coronary Occlusion. They are best used in the first day or two of the attack. Dicu-marol taken orally is at present the most suitable anticoagulant if used under careful laboratory control. Thrombosis and embolism may be controlled by the proper use of anticoagulants. In some medical centers ligation of veins as a prophylatic measure is suggested, but such a procedure is somewhat radical. Intravenous morphine to control the pain in Coronary Occlusion has helped
Object Description
Rating | |
Fixed Title * | NCHH-04: The Health Bulletin [1914-1973] |
Document Title | The Health Bulletin [1914-1973] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Contributor | North Carolina. State Board of Health. |
Publisher | Raleigh, North Carolina State Board of Health. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-04-062 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 62 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-062.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-062 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-04 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1296443 |
Description
Fixed Title * | Page 8 |
Document Title | The Health Bulletin [1914-1973] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Contributor | North Carolina. State Board of Health. |
Publisher | Raleigh, North Carolina State Board of Health. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-04-062-0198 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | healthbulletinse62nort_0198.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 62 |
Issue Number | 11 |
Page Number | 8 |
Health Discipline | Public Health |
Full Text | 10 The Health Bulletin September, 1947 The heart itself may at times act queerly without having anything organically wrong with it. Common, but annoying experiences of this kind are skipped beats, palpitation, and heart-consciousness. Dyspnea on exertion should always be investigated as a symptom of possible weakened heart muscle, or congestion in the lungs which occurs when the left side of the heart is unable to pump adequately all the blood it receives from the right side by way of the lungs. Swelling of the feet and ankles is another early sign of possible heart weakness. Heart murmurs are blowing sounds which have replaced the usual heart sounds which may or may not indicate that something is wrong with the heart. A great many murmurs have little or no importance. Others may indicate that damage has been done to the valves or heart muscle as a result of previous disease. Generally considered, the object of the way of living recommended for persons with heart trouble is the removal of all excessive burdens, especially those imposed my fatigue, obesity, infections, and emotional upsets. Rest and activity should be carefully watched and correlated. Rushing and hurrying should be avoided. One should not walk against a cold wind. Excessive climbing should be avoided. Moderation should be employed when possible. Speed of work should be decreased, fatigue should be minimized, and adequate rest must be insured. Overeating should be strictly denounced as the commonest cause of obesity. Obesity results in an extra strain upon the heart. Excessive smoking of tobacco may cause disagreeable disturbances of the heart beat and may aggravate the symptoms in certain types of heart disease. It is felt that smoking tobacco makes the arterioles tighten up, just as they do under emotional stress, and construction of the arterioles raises the blood pressure. A person with heart disease must take care to avoid the added burden and possible risk of further damage imposed by infections, such as colds, sore throats, pneumonia, and infections of the sinuses and teeth. Cultivation of a serene, optimistic outlook on life helps a great deal in relieving an impaired heart of unnecessary strain. One must give up the excessively fast pace of life, and must learn to go ahead with less speed, haste, worry and fear, and he must accept the situation, and adjust to it cheerfully. The patient with heart disease must learn to accept limitation of physical existence, even to the point of muscular weakness, in order to retard the progress of the disease as much as possible. Death is often preventable, but activity may be so restricted as to make it impossible to earn a living wage. One of the chief problems for ambulatory patients with chronic heart disease is the maintenance of a low sodium intake, and especially the restriction of intake of table salt. Advances have been made in the treatment of certain types of congenital heart disease by means of surgical operations for such conditions as patent ductus arteriosus, coarctation of the aorta, and the tetralogy of Fallot. Recently, interest has been shown in the sympathectomy operation for high blood pressure. In this regard it should be pointed out that candidates for sympathectomy should be carefully selected, because the percentage of beneficial results is about the same as after the use of other methods employed with equal enthusiasm and diligence. Anticoagulants are now being recommended for patients with Coronary Occlusion. They are best used in the first day or two of the attack. Dicu-marol taken orally is at present the most suitable anticoagulant if used under careful laboratory control. Thrombosis and embolism may be controlled by the proper use of anticoagulants. In some medical centers ligation of veins as a prophylatic measure is suggested, but such a procedure is somewhat radical. Intravenous morphine to control the pain in Coronary Occlusion has helped |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-062.pdf |
Document Sort | all; group-b; nchh-04 |
Article Title | Heart Disease |
Article Author | Wilson, Walter Howard |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-062 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-04 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1296443 |
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