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By Peter Fleming (auth.), Mark E. Silverman, Peter R. Fleming, Arthur Hollman, Desmond G. Julian, Dennis M. Krikler (eds.)

Cardiology as a clinical distinctiveness originated within the twentieth century and Britain performed an incredible function in its improvement. British Cardiology within the twentieth Century offers the 1st complete account of the British contributions to this intriguing box in addition to the attention-grabbing tale of a number of the humans and associations who have been concerned. some of the key adjustments within the knowing of the body structure of the center and their scientific implications have been found by way of those individuals.
This ebook should be of significant curiosity to clinicians, scholars, and clinical historians who desire to achieve a old realizing and appreciation of this dynamic scientific self-discipline that has more advantageous the well-being and analysis for thus many.

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The emergence of modern cardiology. London: Wellcome Institute for the History of Medicine, 1985. (Med Hist, suppl 5). 3. WaIter Holbrook Gaskell (1847-1914) worked with Carl Ludwig in Leipzig on the vasomotor activity of the autonomic nervous system. He continued this work on his return to Cambridge in 1875. There, in Michael Foster's department, he began his work on conduction of the cardiac impulse from sinus venosus to ventricle with delay at the sinoatrial and atrioventricular junctions. He also demonstrated that the initiation and propagation of the muscular contraction was an intrinsic property of the muscle cells and needed no nervous impulse to stimulate it.

Lancet 1951;i:I-7, 69-73. 82. Coombs CF. Rheumatic heart disease. Bristol: Wright, 1924. 83. Brunton L. Preliminary note on the possibility of treating mitral stenosis by surgical methods. Lancet 1902;i:352. Although cautious, the reaction to this paper in a leading article and correspondence was surprisingly encouraging. 84. Coombs CF. Rheumatic heart disease. Bristol: Wright, 1924:330. 85. Campbell M. The early operations for mitral stenosis. Br Heart] 1965;28:670-3. 86. Souttar HS. The surgical treatment of mitral stenosis.

It is, of course, not to be confused with syndrome X. Patients with X disease were often spare and thin, with what they called a "feeble circulation:' They felt cold and ill after a cold bath and often had gastric or bowel complaints. Some were "sane and intelligent:' others "peevish and irritable:' Examination might reveal cold hands and feet, a slow pulse with marked sinus arrhythmia, and sometimes a remarkably low respiratory rate. There was often excessive "splashing" on examination of the abdomen and prominent hepatojugular reflux.

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