ANGINA PECTORIS
- 1 August 1929
- journal article
- other
- Published by American Medical Association (AMA) in Archives of Neurology & Psychiatry
- Vol. 22 (2) , 302-312
- https://doi.org/10.1001/archneurpsyc.1929.02220020118007
Abstract
ANATOMY AND PHYSIOLOGY OF CARDIAC NERVES Following the work of Langley,1it is generally believed that the sympathetic sensory and motor nerve supply to the heart and ascending aorta is derived from the upper dorsal segments of the spinal cord. Both afferent and efferent fibers cross from the cord to the prevertebral sympathetic ganglia by the white rami communicantes (fig. 1). The cervical nerves possess gray rami only, and therefore are not concerned with cardiac pain, while from the sixth dorsal down the sympathetic fibers enter the splanchic nerves to the abdominal viscera. There is still no unanimity of opinion, however, as to how the cardiac motor and sensory fibers get from the upper dorsal sympathetic trunk to the heart and therefore how best to interrupt them surgically. Following the ideas of Francois Frank, most surgeons have operated on the cervical sympathetic trunk. Jonesco thought that its complete removalKeywords
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