Highlights the importance of differentiating left ventricular failure (cardiac asthma) from bronchial asthma in older patients presenting with new-onset asthma symptoms.
Warrants evaluation for heart failure in older adults with new asthma symptoms; leaves open optimal diagnostic strategies pending prospective studies.
Article1 July 1939ASTHMATOID HEART FAILURE; A FORM OF LEFT VENTRICULAR FAILURE AND ITS DIFFERENTIATION FROM BRONCHIAL ASTHMA BY CIRCULATION TIME AND OTHER CRITERIAMILTON PLOTZ, M.D., F.A.C.P.MILTON PLOTZ, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-13-1-151 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe diagnosis of bronchial asthma on an allergic basis when symptoms appear for the first time late in life should be made with great caution. Only 12 to 18 per cent of all cases have their onset in the fifth and sixth decades and less than 2 per cent after the age of sixty.1 It is during this period of life that many of the conditions which must be considered in the differential diagnosis of bronchial asthma first make their appearance and all of these should be ruled out before the presumptive diagnosis of allergic asthma can be made.Prominent...Bibliography1. COCOAWALZERTHOMMEN AFMAA: Asthma and hay fever, 1931, Charles C. Thomas, Springfield. Google Scholar2. LAMSONBUTT RWEM: Fatal "asthma," Jr. Am. Med. Assoc, 1937, cviii, 1844. Google Scholar3. OLD H: Asthma from the life insurance standpoint, Jr. Allergy, 1933, iv, 122. CrossrefGoogle Scholar4. DUBLINMARKS LIHH: Mortality of risks with asthma, quoted in Lamson and Butt. Google Scholar5. PRATT JHAn interesting defence of the use of "cardiac asthma" is to be found in the opening paragraphs of: : Cardiac asthma, Jr. Am. Med. Assoc, 1926, lxxxvii, 809. CrossrefGoogle Scholar6. MACKENZIE J: Angina pectoris, 1923, Hodder and Stoughton, London. Google Scholar7. EPPINGERVON PAPPSCHWARZ HIH: Ueber das Asthma cardiale, 1924, Berlin. Google Scholar8. FISHBERG AM: Heart failure, 1937, Lea and Febiger, Philadelphia. Google Scholar9. WEISSROBB SGP: Cardiac asthma, Jr. Am. Med. Assoc, 1933, c, 1841. CrossrefGoogle Scholar10. PARKERWEISS FS: The nature and significance of the structural changes in the lungs in mitral stenosis, Am. Jr. Path., 1936, xii, 573. Google Scholar11. VON BASCH SS: Allgemeine Physiologie and Pathologie des Kreislaufs, 1892, Vienna. Google Scholar12. PEZZI C: The radioscopic sign of the "hilum dance," Libman Anniversary Volumes, 1932, iii, 931, New York. Google Scholar13. OPPENHEIMERHITZIG BSW: Circulatory measurements in chronic lung disorders, Am. Heart Jr., 1936, xii, 257. CrossrefGoogle Scholar14. ROBBWEISS GPS: Method for measurement of pulmonary and peripheral venous blood flow in man, Am. Heart Jr., 1933, viii, 650. CrossrefGoogle Scholar15. HITZIG W: Measurement of circulation time from antecubital veins to pulmonary capillaries, Proc. Soc. Exper. Biol. and Med., 1934, xxxi, 935. CrossrefGoogle Scholar16. HITZIGKINGFISHBERG WFHAM: Circulation time in failure of the left side of the heart, Arch. Int. Med., 1935, lv, 112. CrossrefGoogle Scholar17. NORRISLANDIS GWHK: Diseases of the chest, 1933, W. B. Saunders Co., Philadelphia. Google Scholar18. SWINEFORDMAGRUDER ORGA good discussion is to be found in : : Asthma in heart disease, South. Med. Jr., 1937, xxx, 829. CrossrefGoogle Scholar19. GUBNERSCHNURCRAWFORD RSJH: The use of CO2 inhalation as a test of circulation time, Jr. Clin. Invest., 1939, xviii, 395. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, New York*Received for publication October 25, 1937.From the Long Island College of Medicine Division, Kings County Hospital, Dr. Tasker Howard, Director. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiac asthmaVelocity of Blood Flow in Health and DiseaseAtemnotCARDIAC ASTHMA: ITS PATHOGENESIS AND RESPONSE TO AMINOPHYLLINE*CHARLES SCHUMAN, M.D., HENRY G. SIMMONS, M.D.AtemnotAsthma and hay fever 1 July 1939Volume 13, Issue 1Page: 151-160KeywordsAsthmaHeart failureHospital medicine ePublished: 1 December 2008 Issue Published: 1 July 1939 PDF downloadLoading ...
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