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Demonstrates the clinical recognition of acute cor pulmonale following pulmonary embolism, highlighting bedside diagnostic criteria without complex laboratory apparatus.
Article1 August 1935THE ACUTE COR PULMONALEPAUL D. WHITE, M.D., F.A.C.P.PAUL D. WHITE, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-9-2-115 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe limits of the field of simple clinical observation have not yet been reached. There are still puzzles to solve and new observations to make at the bedside itself or in the office and without the need of elaborate apparatus or extensive knowledge of chemistry or physics. I shall relate to you today an interesting experience of my own and its development by Dr. Sylvester McGinn and myself, in the field of clinical observation, which has resulted in an advance of our knowledge in internal medicine. The new ground which we have occupied is still in a rough condition and...References1. WHITEBRENNER PDO: Pathological and clinical aspects of the pulmonary circulation, New Eng. Jr. Med., 1933, ccix, 1261-1265. CrossrefGoogle Scholar2. MCGINNWHITE SPD: Acute cor pulmonale resulting from pulmonary embolism; its clinical recognition, Jr. Am. Med. Assoc., 1935, civ, 1473. CrossrefGoogle Scholar3. COHNHEIM JF: Lectures on general pathology, 1889-1890, i, 54, New Sydenham Society, London. Google Scholar4. MANN FC: An experimental study of pulmonary embolism, Jr. Exper. Med., 1917, xxvi, 387. CrossrefGoogle Scholar5. HAGGARTWALKER GEAM: Physiology of pulmonary embolism as disclosed by quantitative occlusion of the pulmonary artery, Arch. Surg., 1923, vi, 764-783. CrossrefGoogle Scholar6. MOOREBINGER RLCA: Observations on resistance to the flow of blood to and from the lungs, Jr. Exper. Med., 1927, xlv, 655-671. CrossrefGoogle Scholar7. CHURCHILL ED: The mechanism of death in massive pulmonary embolism, Surg., Gynec. and Obst., 1934, lix, 513-517. Google Scholar8. HAMBURGERSAPHIR WWO: Pulmonary embolism complicating and simulating coronary thrombosis, Med. Clin. N. Am., 1932, xvi, 383-403. Google Scholar9. AVERBUCK SH: The differentiation of acute coronary artery thrombosis from pulmonary embolization, Am. Jr. Med. Sci., 1934, clxxxvii, 391-401. CrossrefGoogle Scholar10. HAMMAN L: Remarks on the diagnosis of coronary occlusion, ANN. INT. MED., 1934, viii, 417-431. Google Scholar11. LITTEN M: Über Verengerungen im Stromgebiet der Lungenarterie, über deren Folgen und die Möglichkeit, dieselben während des Lebens zu diagnosticiren; zugleich ein Beitrag zur Lehre von der ungleichzeitigen Contraction bei der Herzkammern, Berl. klin. Wchnschr., 1882, xix, 425, 443. Google Scholar12. LORD FT: Diseases of the bronchi, lungs, and pleura, 1925, Lea and Febiger, Philadelphia, p. 483-484. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Read at the Philadelphia meeting of the American College of Physicians, May 2, 1935. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBesondere TherapieformenOn future directions for cardiology. The Paul D. White lecture.Das chronische Cor pulmonalePulmonary embolism diagnosis and managementAcute pulmonary embolismAcute Pulmonary Hypertensive Heart Disease: PathophysiologySubacute cor pulmonalePulmonary embolism and infarctionTHE ELECTROCARDIOGRAM IN PULMONARY EMBOLISMExperimental Pulmonary Arterial Occlusions: Acute Cor Pulmonale Simulating "Obstetrical Shock" of late Pregnancy**This investigation was supported in part by the Medical Research and Development Board, Office of the Surgeon General, Department of the Army, Contract No. DA-49-007-MD-194, while Dr. Schneider was Assistant professor of Physiology and Pharmacology, Wayne University College of Medicine.Pulmonary EmbolismElectrocardiographic changes in pulmonary embolism with special reference to an early and transient shift of the electrical axis of the heartGeneral Practice ReviewACUTE COR PULMONALE*IRA L. RUBIN, M.D., GERALD FLAUM, M.D, F.A.C.P.Acute coronary insufficiency due to pulmonary embolismPulmonary EmbolismFAILURE OF THE RIGHT VENTRICLE A CASE REPORTDurchblutungsstörungen des Herzmuskels bei der operativen Kollapstherapie der LungentuberkuloseEXPERIMENTAL PULMONARY EMBOLISMThe clinical significance of a persistent depression of the RS-T segment in the electrocardiogramA clinical study of pulmonary embolismZur Frage pulmocoronarer Reflexe bei LungenembolieThe unknown liverThe appearance of the T-wave in Lead IV in normal children and in children with rheumatic heart disease 1 August 1935Volume 9, Issue 2Page: 115-122 ePublished: 1 December 2008 Issue Published: 1 August 1935 PDF downloadLoading ...
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