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Stab wounds of the heart: A study of electrocardiographic changes, polyserositis and pericarditis
!I83
ABS’TRACTS
Spink, Wesley W.: 56:
Cardiovascular
Complications
of Trichinosis,
Arch. Int. ILIetl.
“38 , 1935 .
Acute myocarditis occurring in trichinosis may be a nonspecific inflammatory reaction due to the invasion of the myocardium by larvae. A review of the literature shows that other cartliovascular manifestations incaludr congestion and hemorrhage of the ryes, lungs and gastrointestinal tract ; edema ; thrombosis; embolism with infarction; and hypotension. Six of eighteen cases of trichinosie (32.3 l,er cent ) showed electrocardiographic changes. These changes includell an initial flattening or inversion of the T-wave, especially in Lead II, the wave subsequently bcromin g upright; low amplitu(lc of the QHS complex, and intraventricular block. The postmortem changes in a fatal case of trichinosis with myocarditis are presented. Another case is recorde(l in which trichinosis ivas complic~atecl by a llermanent right hemiplegia.
Burwell, C. S., and Flickinger, D.: Obstructing Pericarditis: Effect of Resection of the Pericardium on the Circulation of a Patient With Concretio Cordis, Arch. lnt.
Med.
56:
350,
1935.
A case is reported in which a high degree of obstructing pericartlitis was present. This pericarditis was due to infection of the pericardium with Staphylococcus aurews. Removal of a portion of the pericardium was followt~l by a fall in venous pressure, a rise in cardiac output and an increase in pulsation of the heart. Increasell venous pressure and decreased cardiac output appear to be the chief mechanisms underlying the symptoms and signs of concretio corclis.
Koucky, J. D., and Milles, G.: Stab Wounds of the Heart: A Study of Electrocardiographic Changes, Polyserositis and Pericarditis, Arch. Int. Med. 56: 31, 1935. A case of stab wound of the heart with recovery is reported. Complete electrocardiographic studies and their compmison with similar studies show that a Pardee curve, replaced after about ten days by an inversion of the T-wave, occurred in all cases. A complete return to the normal curve is the rule. Our case was comp1icate.d by polyserositis, which may have resulted from the use of surgical solution of chlorinated soda in irrigating the pericardial sac after the development of pericarditis. The mechanism of the tlerelopment of polyserositis is discussed. Roentgenographic visualization of the pericardial sac after iqjection of an iotlizell and chlorinated peanut oil was carried out. The pictures disclosed little obliteration of the pericardial sac. The operation performed without anesthesia or anything more than the most cursory attempts at‘sterility, necessitated by the extreme, state of the patient, resulted in ultimate and complete recovery.
Bernstein, Alan: Periarteritis Nodosa Without Antemortem, Anl. J. 1\1. WC.190: 317, 19:X.
Periphera,l
Nodules
Diagnosed
A fatal case of periarteritis nodosa without peripherirl nodules, suspected and proved by biopsy antemortem, is recorded. The patient’s illness was characterize11 by weakness, emaciation, fever, peripheral neuritis, abdominal pain, edema, ncelusion of a central retinal artery, deafness, vacillating hypertension, tachycardia. anemia with leucocytosis and eosinophilia, and changes in the urine. The Wassermann reaction was positive. Potassium iotlitle failed to arrest the progressive course of the disease,
ABS’TRACTS
Spink, Wesley W.: 56:
Cardiovascular
Complications
of Trichinosis,
Arch. Int. ILIetl.
“38 , 1935 .
Acute myocarditis occurring in trichinosis may be a nonspecific inflammatory reaction due to the invasion of the myocardium by larvae. A review of the literature shows that other cartliovascular manifestations incaludr congestion and hemorrhage of the ryes, lungs and gastrointestinal tract ; edema ; thrombosis; embolism with infarction; and hypotension. Six of eighteen cases of trichinosie (32.3 l,er cent ) showed electrocardiographic changes. These changes includell an initial flattening or inversion of the T-wave, especially in Lead II, the wave subsequently bcromin g upright; low amplitu(lc of the QHS complex, and intraventricular block. The postmortem changes in a fatal case of trichinosis with myocarditis are presented. Another case is recorde(l in which trichinosis ivas complic~atecl by a llermanent right hemiplegia.
Burwell, C. S., and Flickinger, D.: Obstructing Pericarditis: Effect of Resection of the Pericardium on the Circulation of a Patient With Concretio Cordis, Arch. lnt.
Med.
56:
350,
1935.
A case is reported in which a high degree of obstructing pericartlitis was present. This pericarditis was due to infection of the pericardium with Staphylococcus aurews. Removal of a portion of the pericardium was followt~l by a fall in venous pressure, a rise in cardiac output and an increase in pulsation of the heart. Increasell venous pressure and decreased cardiac output appear to be the chief mechanisms underlying the symptoms and signs of concretio corclis.
Koucky, J. D., and Milles, G.: Stab Wounds of the Heart: A Study of Electrocardiographic Changes, Polyserositis and Pericarditis, Arch. Int. Med. 56: 31, 1935. A case of stab wound of the heart with recovery is reported. Complete electrocardiographic studies and their compmison with similar studies show that a Pardee curve, replaced after about ten days by an inversion of the T-wave, occurred in all cases. A complete return to the normal curve is the rule. Our case was comp1icate.d by polyserositis, which may have resulted from the use of surgical solution of chlorinated soda in irrigating the pericardial sac after the development of pericarditis. The mechanism of the tlerelopment of polyserositis is discussed. Roentgenographic visualization of the pericardial sac after iqjection of an iotlizell and chlorinated peanut oil was carried out. The pictures disclosed little obliteration of the pericardial sac. The operation performed without anesthesia or anything more than the most cursory attempts at‘sterility, necessitated by the extreme, state of the patient, resulted in ultimate and complete recovery.
Bernstein, Alan: Periarteritis Nodosa Without Antemortem, Anl. J. 1\1. WC.190: 317, 19:X.
Periphera,l
Nodules
Diagnosed
A fatal case of periarteritis nodosa without peripherirl nodules, suspected and proved by biopsy antemortem, is recorded. The patient’s illness was characterize11 by weakness, emaciation, fever, peripheral neuritis, abdominal pain, edema, ncelusion of a central retinal artery, deafness, vacillating hypertension, tachycardia. anemia with leucocytosis and eosinophilia, and changes in the urine. The Wassermann reaction was positive. Potassium iotlitle failed to arrest the progressive course of the disease,