. The heart and the aorta; studies in clinical radiology . contour, deformed in its middlethird, was not convex but concave, as if the ventricularwall were in an excessively flaccid condition. This condi-tion, especially noticeable during inspiration, and par-ticularly in the recumbent position, appeared to be relatedto an abnormal flaccidity of the heart and to be of con-siderable prognostic importance, for it occurred in sev-eral cases of myocarditis and cardiac insufficiency. Thisimpression was confirmed by the rapid and feeble pulsa-tions of the heart. There is no doubt that in this casera


. The heart and the aorta; studies in clinical radiology . contour, deformed in its middlethird, was not convex but concave, as if the ventricularwall were in an excessively flaccid condition. This condi-tion, especially noticeable during inspiration, and par-ticularly in the recumbent position, appeared to be relatedto an abnormal flaccidity of the heart and to be of con-siderable prognostic importance, for it occurred in sev-eral cases of myocarditis and cardiac insufficiency. Thisimpression was confirmed by the rapid and feeble pulsa-tions of the heart. There is no doubt that in this caseradioscopic examination corrected the auscultatory find-ings, for the impression obtained was that it was purely 154 THE HEART AND THE AORTA an anorganic murmur, whereas the heart was seriouslyaffected and the prognosis considered to be very grave. Fig. 117 furnishes analogous indications. A case ofa woman forty-nine years of age, with marked hyper-trophy of the thyroid gland, exophthalmia, tachycardiaand the heart enlarged on percussion. The condition of. Fig. 116. DILATATION OF THE HEAET IN A CASE OF BASEDOWS DISEASE The contour in dotted lines shows the deformation of the left outlineduring deep inspiration.


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