Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . nd while its progress may be retardedit cannot be halted while myocarditis may be cured. In bothdiseases the symptoms improve after prolonged rest but insenile fibrosis the heart becomes weak again after exercise. Fatty degeneration produces similar symptoms but theheart is persistently weak while in fibrosis the heart is sometimesfairly strong, especially after prolonged rest. In brown atrophythe size of the heart is diminished and symptoms of co
Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . nd while its progress may be retardedit cannot be halted while myocarditis may be cured. In bothdiseases the symptoms improve after prolonged rest but insenile fibrosis the heart becomes weak again after exercise. Fatty degeneration produces similar symptoms but theheart is persistently weak while in fibrosis the heart is sometimesfairly strong, especially after prolonged rest. In brown atrophythe size of the heart is diminished and symptoms of coronaryarteriosclerosis are frequent while in myofibrosis there is usuallyenlargement of the heart and coronary symptoms are infrequent. Treatment.—The treatment of senile myofibrosis must behygienic and symptomatic. The condition is slowly progressiveand we can do nothing to arrest its progress nor to restoredegenerate tissue. The symptoms are usually so mild thatthey are neglected by the patient and are but mentioned inci-dentally when complaining of the more distressing symptomsof some other disease. (The treatment of the incidental symp-. Arteriosclerosis of Peroneal Artery. (Courtesy of Lewis Gregory Cole, M. D. New York.) BROWN ATROPHY OF THE HEART 99 toms arrhythmia, palpitation and angina pectoris will be givenunder Cardiac Neuroses.) When cardiac weakness becomes marked the most importantmeasure is rest. Digitalis is contraindicated as the degeneratedfibers cannot respond and the excessive work imposed upon thehealthy fibers causes their rapid degeneration while its vasocon-strictor action further diminishes the blood supply to theheart by contracting the coronaries. Where there are markedsymptoms of cerebral and peripheral anemia the nitrite of sodain i/6-grain to i-grain doses four times a day should be in the form of whiskey or wine given with meals isoften beneficial. Late in the disease camphor, caffein, strychninand strophanthin may become necessar
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Keywords: ., bookcentury1900, bookdecade1910, bookidger, booksubjectgeriatrics
