CORONARY SCLEROSIS AND PULMONARY HYPERTENSION

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Abstract
Evidence of coronary disease was observed in persons who showed strain on the right ventricle resulting from one of several causes; kyphoscoliosis with marked chest deformity, spinal arthritis, thoracoplasty, pulmonary fibrosis, emphysema, and pulmonary vascular disease from mitral stenosis. All the patients included had angina pectoris, congestive failure, or both conditions. Intercurrent respiratory infections were disabling in the patients with angina pectoris and led to severe prolonged chest pain. One individual suffered 3 attacks of myocardial infarction, each following a pulmonary infection. The effect of digitalis in those patients showing congestive heart failure was often disappointing. A low Na intake and mercurial diuretics were more effective. Patients with frequent anginal attacks and persistent pulmonary congestion were able to go several days with little or no nitroglycerine after injn. of mercurial diuretic.

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