can be used as an index of therapeutic efficacy. Insufficiency of the right heart and early venous thrombosis are manifested by prolonged emptying time of the vein following elevation of the limb 45” from the horizontal. Normally this value is two to six seconds. The refilling time on return to horizontal (normal value five to twenty seconds) gives an index of the state of arterial flow. A refilling time of fifty seconds is to be taken as of serious moment. L. N. K.
Rautmann, 10:
H.:
1097,
Roentgenological
Studies of the Heart
in
Athletes.
Med.
Welt.
1936.
A marked dilation jective symptoms or overexertion.
of the heart can cardiac acceleration.
occur This
on overexertion is a good way
without of checking L. N.
Parade,
G. W.:
Heart
Disease and Athletics.
Med.
Welt.
10:
1101,
subfor K.
1936.
No limitation was noted in the ability to participate in sports in many patients with valvular disease. In fact, regulated exercise will improve the condition by leading to bradycardia, but lack of care in such activity can lead to heart failure. Only myocardial damage is a contraindication to athletics. Arrhythmias like extrasystoles and auricular fibrillation per se are no contraindication for such A case is cited of a skier who had heart block with dropped beats activities. and who had no ill effects from his activity. Nevertheless, each case should be judged individually. L. N. K.
of Congestive Grundig, J.: The Management Spa. Balneologe 3: 354, 1936.
Catarrh
and
Cardiac
Asthma
in a
Those subject to cardiac asthma due to left heart failure should not be sent to a spa. However, patients with chronic congestive failure such as occurs in mitral stenosis de well at spas. The use of CO, baths, 0, inhalation, and venesection are recommended as is also nitrites or nitrites and digitalis, sedatives, and narcotics. L. N.
Parade,
G. W.:
Heart
Disturbances
Following
Cold Baths.
Balneologe
3:
K. 406,
1936. Baths of 18 to 20” were used on 50 normal subjects. The following abnormal rhythms were found following the use of the cold bath: one instance of A-V dissociation, several of auricular paroxysmal tachycardia, and sinus arrhythmia (nonphasic). L. N. K.
Crassusi: 62:
1613,
Clinical
Use of Adenis Vernalis
(Adonigen).
Deutsche
med.
Wchnschr.
1936.
This acts as a sedative to the ectopic pacemakers of the heart. It was used The indications are similar to those of digitalis. orally and rectally in 57 cases. Twenty to thirty drops of adonigen may he used three times a day or one or two tablets orally or one or two suppositories daily. L. N. K.