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A simple method of determining abnormalities of the Q-T interval and its value in acute rheumatic fever
ABSTRACTS, THIRD INTER-AMERICAN
CARDIOLOGICAL CONGRESS
h.13
IMPORTANCE OF PSYCHIC COMPONENTS OF PAIN IN THE COIJRSI’ OF CORONARY DISEASES-R. GODEL,, M.D., ISMAILIA, EGYPT. In coronary diseases, whether the latter causes transitory myocardial ischemia or subacute infarction, pain of purely psychic origin frequently, adds its component to the syndrom, Should such pain be severe, occur repeatedly, and be associated with anxiety, then the clinical picture becomes greatly confused. The origin of each single crisis is erroneously traced back to coronaryinsufficiency; prolonged bed rest is enforced upon the patient who becomes ever more heart-conscious, distressed, and emotionally fixed upon his ailment. However, before the psychic components of the pain are searched for, the patient should undergo thorough cardiological investigation. The type of coronary disease which affects him is determined: chronic nonprogressive form, progressive type, or protracted coronary insufficiency. This task rests upon careful interpretation of clinical signs and symptoms, serial electrocardiograms, blood sedimentation figures, and leucocyte counts. Psychic components are then analyzed and their relative importance estimated. The patient should be ttncouraged and helped to work out his emotional problems. These may have ctntered upon sexual, competitive, aggressive forces, and upon relationships of a more or less regressive type. Narcoanalysis can help in liberating repressed Elimination or attenuation of disturbing psychic complexes and conditionmgs. material will considerably reduce the frequency of cardiac pain. It will also help clarif!- the clinical picture. .\N
OPTIMAI, SYSTEM FOR THE TRE,4TMENT HEART.-HARRY GOLD, M.D., NEW YORK, N. Y. The conclusions of extensive experience are presented.
OF
THE
FAILING
A SIMPLE METHOD OF DETERMINING ABNORMALITIES OF THE Q-T INTERVAL AND ITS VALUE IN ACUTE RHEIJMATIC FEVER. EMANUEL GOLDBERGER, M.D., AND MURRAY J. POKRESS, M.D., Nr~w YoRK,N.Y. To be published
in full in American
Heart Journal.
CONTRIBUTION TO THE STUDY OF ERYTHROBLASTEMIA IN CAKDIAC PATIENTS.-I. GONZALEZ GUZMAN, M.D., MEXICO, D.F., MEXICO. Studying several thousands of cytohematic examinations made at the National Institute of Cardiology of Mexico, we found some showing a significant The analysis of the corresponding percentage of erythroblasts in the blood. clinical data revealed some important facts, which can be summarized as follows: 1. Anemia of about 2.0 million red cells per cubic millimeter generally This erythroblastemia is always slight: shows some circulating erythroblasts, it is not constant and has no relation to the number of red cells. 2. When anemia appears together with cardiac failure, the erythroblastemia is more frequent and important; it is not related to the anemia, but to the degree of cardiac failure. 3. In cases of marked heart failure erythroblasts appear in the blood sometimes in high percentages even when the number of red cells is normal or above normal. 4. The nucleated red corpuscles present in cases of heart failure are all normoblastic, seldom basophilic, and almost always polychromatic and orthochromatic. 5. In cases of cardiac failure with pulmonary infarct, bronchopneumonic foci, or pneumonia, binucleated normoblasts, paraerythroblasts of Lehndorff, appear in the circulation.
CARDIOLOGICAL CONGRESS
h.13
IMPORTANCE OF PSYCHIC COMPONENTS OF PAIN IN THE COIJRSI’ OF CORONARY DISEASES-R. GODEL,, M.D., ISMAILIA, EGYPT. In coronary diseases, whether the latter causes transitory myocardial ischemia or subacute infarction, pain of purely psychic origin frequently, adds its component to the syndrom, Should such pain be severe, occur repeatedly, and be associated with anxiety, then the clinical picture becomes greatly confused. The origin of each single crisis is erroneously traced back to coronaryinsufficiency; prolonged bed rest is enforced upon the patient who becomes ever more heart-conscious, distressed, and emotionally fixed upon his ailment. However, before the psychic components of the pain are searched for, the patient should undergo thorough cardiological investigation. The type of coronary disease which affects him is determined: chronic nonprogressive form, progressive type, or protracted coronary insufficiency. This task rests upon careful interpretation of clinical signs and symptoms, serial electrocardiograms, blood sedimentation figures, and leucocyte counts. Psychic components are then analyzed and their relative importance estimated. The patient should be ttncouraged and helped to work out his emotional problems. These may have ctntered upon sexual, competitive, aggressive forces, and upon relationships of a more or less regressive type. Narcoanalysis can help in liberating repressed Elimination or attenuation of disturbing psychic complexes and conditionmgs. material will considerably reduce the frequency of cardiac pain. It will also help clarif!- the clinical picture. .\N
OPTIMAI, SYSTEM FOR THE TRE,4TMENT HEART.-HARRY GOLD, M.D., NEW YORK, N. Y. The conclusions of extensive experience are presented.
OF
THE
FAILING
A SIMPLE METHOD OF DETERMINING ABNORMALITIES OF THE Q-T INTERVAL AND ITS VALUE IN ACUTE RHEIJMATIC FEVER. EMANUEL GOLDBERGER, M.D., AND MURRAY J. POKRESS, M.D., Nr~w YoRK,N.Y. To be published
in full in American
Heart Journal.
CONTRIBUTION TO THE STUDY OF ERYTHROBLASTEMIA IN CAKDIAC PATIENTS.-I. GONZALEZ GUZMAN, M.D., MEXICO, D.F., MEXICO. Studying several thousands of cytohematic examinations made at the National Institute of Cardiology of Mexico, we found some showing a significant The analysis of the corresponding percentage of erythroblasts in the blood. clinical data revealed some important facts, which can be summarized as follows: 1. Anemia of about 2.0 million red cells per cubic millimeter generally This erythroblastemia is always slight: shows some circulating erythroblasts, it is not constant and has no relation to the number of red cells. 2. When anemia appears together with cardiac failure, the erythroblastemia is more frequent and important; it is not related to the anemia, but to the degree of cardiac failure. 3. In cases of marked heart failure erythroblasts appear in the blood sometimes in high percentages even when the number of red cells is normal or above normal. 4. The nucleated red corpuscles present in cases of heart failure are all normoblastic, seldom basophilic, and almost always polychromatic and orthochromatic. 5. In cases of cardiac failure with pulmonary infarct, bronchopneumonic foci, or pneumonia, binucleated normoblasts, paraerythroblasts of Lehndorff, appear in the circulation.