Cardiac fibrosis as a result of coronary obstruction / by G. A. Gibson and Robert Muir.

  • Muir Robert, Sir, 1864-1959.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Cardiac fibrosis as a result of coronary obstruction / by G. A. Gibson and Robert Muir. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    5/18
    By G. A. Gibson, M.D., D.Sc., F.R.C.P.Ed.; and Robert Muir, M.A., M.D. The study of the morbid changes which the muscular wall of the heart undergoes, in consequence of local nutritive disturbances, is not only of great importance from the patho- logical point of view, but it is also of real value to the scientific physician. There can be no doubt that our appreciation of the consequences of such nutritive disorders renders much service in the explanation of obscure symptoms, and affords useful indications as to prognosis and treatment. An instance of such changes, which came under our observa- tion lately, seems to us to be of so much clinical and patho- logical interest, that we have no hesitation in placing it on record and discussing its more important features. D. S., a tinsmith, set. 36, complaining of cough and breath- lessness, was admitted to Ward 22 of the Royal Infirmary, under the care of Dr. Gibson, on 12th March 1893. The patient seemed to have no hereditary tendencies to disease, and, until a short time before admission, his surround- ings were good in all respects. His previous health was excellent, and, in particular, although he had complained of vague pains in the joints and muscles, he had never suffered from any definite rheumatic attack. For a few months before coming to the hospital he had been ailing, but, as his wife was confined to bed on account of a severe illness, he had struggled on until, a fortnight before his admission, he had been com- pelled to take to his bed. In addition to the cough and dyspnoea, the patient complained of weakness and sleep- lessness. The appetite was very poor, and the patient had fre-