CHAPTER Ⅰ．THE CHIEF SYMPTOMS OF HEART DISEASE 1
HISTORY-TAKING 1
SYMPTOMS 2
CHAPTER Ⅱ．PHYSICAL SIGNS 26
GENERAL INSPECTION 26
THE ARTERIAL PULSE 26
THE EXTREMITIES 32
THE BLOOD PRESSURE 38
THE OCULAR FUNDI 41
THE JUGULAR VENOUS PRESSURE 42
THE JUGULAR VENOUS PULSE 47
OTHER CLASSICAL SIGNS OF HEART FAILURE 57
EXAMINATION OF THE HEART 57
AUSCULTATION 60
EXAMINATION OF OTHER SYSTEMS 70
CHAPTER Ⅲ．ELECTROCARDIOGRAPHY 73
BASIC PRINCIPLES 73
NORMAL APPEARANCES 86
THE CARDIAC VECTOR 89
ELECTROCARDIOGRAPHIC ABNORMALITIES 92
CHAPTER Ⅳ．RADIOGRAPHIC DIAGNOSIS 117
TECHNIQUE 117
CARDIAC MEASUREMENTS 128
NORMAL VARIATIONS 129
RADIOGRAPHIC ABNORMALITIES 133
CHAPTER Ⅴ．SPECIAL INVESTIGATIONS 162
DIRECT MEASUREMENT OF THE VENOUS PRESSURE 163
THE JUGULAR PHLEBOGRAM 163
THE ARTERIOGRAM 165
THE CIRCULATION TIME 171
DYE DILUTION CURVES 172
CARDIAC CATHETERISATION 176
OXIMETRY 191
RESPIRATORY FUNCTION TESTS 192
RENAL FUNCTION TESTS 199
PHONOCARDIOGRAPHY 202
BALLISTOCARDIOGRAPHY 204
THE CONDUCTING SYSTEM 211
SINUS RHYTHMS 212
NODAL RHYTHM 219
HEART BLOCK 222
BUNDLE BRANCH BLOCK 230
ECTOPIC HEATS 232
PAROXYSMAL TACHYCARDIA 236
AURICULAR FLUTTER 250
AURICULAR FIBRILLATION 253
VENTRICULAR FIBRILLATION 259
CHAPTER Ⅶ．HEART FAILURE 264
MECHANISM 264
CARDIAC RESERVES 265
HEART FAILURE 269
CAUSES OF HEART FAILURE 271
LEFT VENTRICULAR FAILURE 271
GALLOP RHYTHM 279
PULSUS ALTERNANS 283
CHEYNE-STOKES BREATHING 284
RIGHT VENTRICULAR FAILURE；CONGESTIVE HEART＇FAILURE 168
OTHER MANIFESTATIONS OF HEART FAILURE 288
PHYSIOLOGICAL TESTS FOR HEART FAILURE 292
PROGNOSIS OF HEART FAILURE 294
TREATMENT 294
CHAPTER Ⅷ．CONGENITAL HEART DISEASE 318
ETIOLOGY 318
CLASSIFICATION 320
GENERAL ANOMALIES WITHOUT A SHUNT 321
COARCTATION OF THE AORTA 328
OTHER ANOMALIES OF THE AORTA 343
MITRAL STENOSIS 349
COR TRIATRIATUM 350
RIGHT-SIDED ANOMALIES WITHOUT A SHUNT 350
ATRIAL SEPTAL DEFECT 358
PARTIAL ANOMALOUS PULMONARY VENOUS DRAINAGE 369
VENTRICULAR SEPTAL DEFECT 371
PATENT DUCTUS ARTERIOSUS 380
EISENMENGER＇S SYNDROME 392
PULMONARY STENOSIS 407
PULMONARY STENOSIS WITH NORMAL AORTIC ROOT 408
PULMONARY STENOSIS WITH REVERSED INTERATRIAL OR INTERVENTRICULAR SHUNT 414
FALLOT＇S TETRALOGY 425
PULMONARY ATRESIA 440
TRICUSPID ATRESIA 443
TRANSPOSITION OF THE GREAT VESSELS 445
PERSISTENT TRUNCUS ARTERIOSUS 451
TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE 454
ANOMALOUS DRAINAGE OF THE S．V．C．OR I．V．C．INTO THE LEFT ATRIUM 457
COR TRILOCULARE BIATRIATUM 458
COR BIVENTRICULARE TRILOCULARE 460
COR BILOCULARE 461
CHAPTER Ⅸ．RHEUMATIC FEVER AND ACTIVE RHEUMATIC CARDITIS 471
INCIDENCE 471
THE NATURE OF THE RHEUMATIC STATE 471
PATHOLOGY 473
CLINICAL FEATURES 475
TREATMENT 491
COURSE AND PROGNOSIS 495
CHAPTER Ⅹ．CHRONIC RHEUMATIC HEART DISEASE 502
INCIDENCE 502
MITRAL INCOMPETENCE 503
MITRAL STENOSIS 515
AORTIC INCOMPETENCE 561
AORTIC STENOSIS 568
TRICUSPID INCOMPETENCE 583
TRICUSPID STENOSIS 590
CHAPTER Ⅺ．NON-RHEUMATIC MYOCARDITIS AND MISCELLANEOUS CARDIOPATHIES 605
CLASSIFICATION 605
THE HEART IN DIPHTHERIA 607
THE HEART IN ACUTE INFECTIONS 610
MYOCARDITIS DUE TO PARASITES 614
MYOCARDITIS DUE TO FUNGI AND YEASTS 616
ISOLATED MYOCARDITIS 616
ENDOMYOCARDIAL FIBROSIS 622
COLLAGEN DISEASES AND ALLERGIC STATES 623
METABOLIC AND NUTRITIONAL CARDIOPATHIES 627
ENDOCRINE CARDIOPATHIES 629
NEUROMUSCULAR DYSTROPHIES 630
TUMOURS OF THE HEART 630
ARGENTAFFINOMA 633
MYOCARDITIS DUE TO DRUGS 634
THE HEART IN ACUTE NEPHRITIS 638
CHAPTER Ⅻ．BACTERIAL ENDOCARDITIS 646
PATHOLOGY 646
CLINICAL FEATURES 647
DIAGNOSIS 651
COURSE 651
PROGNOSIS 652
TREATMENT 652
CHAPTER ⅩⅢ．PERICARDITIS 657
ETIOLOGY 657
DRY(FIBRINOUS)PERICARDITIS 657
PERICARDIAL EFFUSION 660
CHRONIC CONSTRICTIVE PERICARDITIS 665
ADHERENT PERICARDIUM 673
TYPES OF PERICARDITIS BASED ON ETIOLOGY 673
CHAPTER ⅩⅣ．SYPHILITIC AORTITIS 683
PATHOLOGY 684
ANEURYSM 684
AORTIC INCOMPETENCE 692
ANGINA PECTORIS 697
HEART BLOCK 698
TREATMENT OF SYPHILITIC AORTITIS 698
CHAPTER ⅩⅤ．ISCHAEMIC HEART DISEASE 701
DEFINITION 701
INCIDENCE 701
PATHOGENESIS 703
ANGINA PECTORIS 374
ACUTE CORONARY INSUFFICIENCY 723
CARDIAC INFARCTION 726
CHAPTER ⅩⅥ．HYPERTENSIVE HEART DISEASE 761
HYPERTENSIVE HEART DISEASE 761
ETIOLOGY OF ESSENTIAL HYPERTENSION 764
CLINICAL FEATURES 767
CLINICAL FEATURES OF PERSISTENT HYPERTENSION 770
DIFFERENTIAL DIAGNOSIS 783
COURSE AND PROGNOSIS 784
TREATMENT 786
CHAPTER ⅩⅦ．PULMONARY EMBOLISM 806
THROMBO-EMBOLISM 806
ETIOLOGY 806
HAEMODYNAMICS 808
CLINICAL FEATURES 810
PROGNOSIS 816
TREATMENT 816
OTHER TYPES OF PULMONARY EMBOLISM 822
CHAPTER ⅩⅧ．PULMONARY HYPERTENSION 828
DEFINITION AND CLASSIFICATION 828
PASSIVE PULMONARY HYPERTENSION 829
HYPERKINETIC PULMONARY HYPERTENSION 830
OBSTRUCTIVE OR OBLITERATIVE PULMONARY HYPERTENSION 832
VASOCONSTRICTIVE PULMONARY HYPERTENSION 836
REACTIVE PULMONARY HYPERTENSION 838
PRIMARY PULMONARY HYPERTENSION 839
CHAPTER ⅩⅨ．COR PULMONALE 849
INCIDENCE 849
PATHOGENESIS 840
CLINICAL FEATURES 851
SPECIAL FORMS OF COR PULMONALE 863
CHAPTER ⅩⅩ．THYROTOXICOSIS AND THE HEART IN MYXOEDEMA 871
THYROTOXIC HEART DISEASE 871
CLINICAL FEATURES OF THYROTOXICOSIS 873
SPECIAL INVESTIGATIONS 881
TREATMENT OF THYROTOXICOSIS 885
OTHER CONSIDERATIONS 888
PROGNOSIS 890
THE HEART IN MYXOEDEMA 890
CHAPTER ⅩⅪ．HYPERKINETIC CIRCULATORY STATES 897
CLASSIFICATION 897
THE HEART IN ANAEMIA 897
THE HEART IN PREGNANCY 902
ARTERIO-VENOUS FISTULA 909
CONGENITAL CIRCOID ANEURYSM 910
ACQUIRED ARTERIO-VENOUS ANEURYSM 914
BERI-BERI 9155
PAGET＇S DISEASE OF BONE 917
HEPATIC FAILURE 918
CHAPTER ⅩⅫ．TRAUMATIC LESIONS OF THE HEART AND GREAT VESSELS 922
DISSECTING ANEURYSM 922
PERFORATION OF AN AORTIC SINUS INTO THE PULMONARY ARTERY，RIGHT VENTRICLE OR RIGHT ATRIUM 925
EFFECTS OF DIRECT INJURY 927
EFFECTS OF INDIRECT INJURY 930
CHAPTER ⅩⅩⅢ．CARDIOVASCULAR DISTURBANCES ASSOCIATED WITH PSYCHIATRIC STATES 937
GENERAL CONSIDERATIONS 937
CLINICAL FEATURES 938
PHYSICAL SIGNS 942
PSYCHIATRIC ASPECTS 943
DIFFERENTIAL DIAGNOSIS 944
TREATMENT 945