THE INCIDENCE and localization of coronary artery occlusion have assumed increasing importance because of the current exploration of cardiac lesions in patients by angiography and surgery. We wish to report the results of a large series that extends the previous studies by Schlesinger and Zoll oia anatomic variations in coronary arterial patterns and on the incidence and localization of coronary arterial occlusions.1-3

This slender monograph is a report of the author's observations in his department of cardiology in Amsterdam. The author states the suspicion that experiments on open-chested animals with cut cardiac nerves are subject to possible error has been dispelled by the experience with external electrical stimulation of the heart in man. The author presents a classification of tachycardias, summarizes the physical signs helpful in diagnosis, and emphasizes the difficulty in differentiating between supraventricular tachycardias with wide QRS complexes and ventricular tachycardias. The text of this monograph deals mainly with the use of bundle of His recordings and the response to external electrical stimulation of the heart by right atrial and ventricular electrodes to determine whether certain regular tachycardias represent atrial flutter, atrioventricular (AV) junctional tachycardia, or tachycardia related to the preexcitation syndrome. The bundle of His recordings were accomplished by passing two or more electrodes by the Seldinger technique

The extraordinary advances in cardiac surgery have widened the possibility of improvement for an ever increasing number of patients. The purpose of this volume is to inform those responsible for the postoperative management of these patients of the special problems that must be identified and treated to achieve a successful outcome. The 143 pages comprise 12 chapters that include the following subjects: design and management of an intensive care unit, blood balance, water and electrolyte balance, blood gas and acid base changes, and hematological disorders. Separate chapters deal with the postoperative problems of the cardiovascular system, respiratory failure, cerebral damage, cardiac arrest, and the special problems of infancy. The book does not deal with the postoperative management of cardiac patients undergoing noncardiac operations. Some aspects of the relevant special pathologic physiology underlying each problem are discussed very briefly in each chapter. Primarily, "the book is designed as a practical

Mandatory for impending pulmonary edema, hospitalization is also indicated for the minority of patients who no longer respond to the measures that permit most to be treated at home. Hospitalization gives the physician an opportunity to improve his application of the three “D's” of therapy-digitalis, diuretics, and diet-in the particular case, and to determine why the patient has become refractory to treatment.

HomeCirculationVol. 31, No. 4Symposium: Left Ventricular Outflow Tract Obstruction Free AccessResearch ArticlePDF/EPUBAboutView PDFSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessResearch ArticlePDF/EPUBSymposium: Left Ventricular Outflow Tract Obstruction Introduction HERRMAN L. BLUMGART HERRMAN L. BLUMGARTHERRMAN L. BLUMGART From the Department of Medicine, Harvard University School of Medicine, and the Beth Israel Hospital, Boston, Massachusetts. Originally published1 Apr 1965https://doi.org/10.1161/01.CIR.31.4.585Circulation. 1965;31:585"Symposium: Left Ventricular Outflow Tract Obstruction ." Circulation, 31(4), p. 585 Previous Back to top Next FiguresReferencesRelatedDetailsCited By Geha A and O'Kane H (2016) Surgical Treatment of Lesions of the Outflow Tract of the Left Ventricle, Angiology, 10.1177/000331977402500102, 25:1, (3-15), Online publication date: 1-Jan-1974. April 1, 1965Vol 31, Issue 4 Advertisement Article InformationMetrics © 1965 American Heart Association, Inc.https://doi.org/10.1161/01.CIR.31.4.585 Originally publishedApril 1, 1965 PDF download Advertisement

AT a centennial symposium on education it is pertinent to note that Harrington,1 in his history of the Harvard Medical School, stated that "The newly opened City Hospital was offered to the School in 1864 (School spelled unmistakably with a capital 'S'), as a place of instruction for medical students."Although the ravages of the Civil War had just swept through the land, tranquillity encircled the problem of admission of Harvard medical students. Indeed, a problem can hardly be said to have existed, for the so-called "Statutes of the Medical School" stated with New England simplicity that "Students of Medicine . . .