心臓性喘息の臨床的研究

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  • CLINICAL STUDY ON THE CARDIAC ASTHMA
  • シンゾウセイ ゼンソク ノ リンショウテキ ケンキュウ

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The author studied on the existence of the allergic or bronchial asthmatic characteristics in the patients with so-called cardiac asthma, that is the patients with cardiovascular diseases accompanied with the paroxysms of dyspnea.<BR>1) Among the 84 patients applied to our clinic for the so-called cardiac asthma, 24 were the patients with cardiovascular disease combined with bronchial asthma, and 20 were the patients with cardiovascular diseases who showed no paroxysmal dyspnea in the course of further observation.<BR>Remaining 40 cases were considered to be cardiac asthma having paroxysmal dyspnea related to their cardiovascular diseases.<BR>2) Among 40 patients with cardiac asthma, 34 had not bronchial asthma in their past histories. The average age at the onset was 64.5 years, and 38 (95%) were over 50 years of age at their onset.<BR>3) The basal diseases of these 40 patients were hypertension in 44.4%, coronary disease in 23.8%, myocardial infarction in 17.5 %. Many patients with coronary disease accompaning symptoms of cardiac asthma were shown to have simultaneously hypertension.<BR>4) Allergic histories were found in 40-50%, skin tests were positive in 60%, 17.5% of patients showed eosinophylia, rhonchi were Neared in patients of 72.5%. One and more of these symptoms were found to be positive in 92.5% of 40 patients.<BR>5) Paroxysmal dypnea was found in all patients. This paroxysms occured at night in 67.5 % at rest in 62.5%. Many of typical cardiac asthmatic symptoms were found in most patients.<BR>6) For the conclusion it was suggested that the patients with cardiovascular diseases accompanied with allergy or hypersensitivity of the bronchi were prone to have the symptoms of cardiac asthma.

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