Concerning the Differentiation Between Bronchial Asthma vs. Cardiac Disease, and Possible Ill Effects From the Administration of Excessive Amounts of Epinephrine in the Former Condition

Article1 November 1938CONCERNING THE DIFFERENTIATION BETWEEN BRONCHIAL ASTHMA VS. CARDIAC DISEASE, AND POSSIBLE ILL EFFECTS FROM THE ADMINISTRATION OF EXCESSIVE AMOUNTS OF EPINEPHRINE IN THE FORMER CONDITIONFRED M. SMITH, M.D., F.A.C.P., W. D. PAUL, M.D.FRED M. SMITH, M.D., F.A.C.P.Search for more papers by this author, W. D. PAUL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-5-585 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCases of bronchial asthma are not infrequently encountered in which it is extremely difficult or perhaps even impossible to rule out a cardiac factor. Chronic bronchial asthma is invariably associated with varying degrees of emphysema. The latter results in permanent reduction of the vital capacity which, in some, may reach a low level. With a significant reduction of the vital capacity, shortness of breath appears on exertion, the venous pressure may be increased and occasionally dependent edema is observed. Moreover, the asthmatic attacks commonly occur more frequently and are often precipitated by exercise. Finally, it is generally agreed that the...Bibliography1. KOUNTZALEXANDERDOWELL WBHLD: Emphysema simulating cardiac decompensation, Jr. Am. Med. Assoc., 1929, xciii, 369. Google Scholar2. ALEXANDERLUTENKOUNTZ HLDWB: The effects on the heart of long standing bronchial asthma, Jr. Am. Med. Assoc., 1927, lxxxviii, 882. CrossrefGoogle Scholar3. HITZIGKINGFISHBERG WMFHAM: Circulation time in failure of the left side of the heart, Arch. Int. Med., 1935, lv, 112. CrossrefGoogle Scholar4. OPPENHEIMERHITZIG BSWM: The use of circulatory measurements in evaluating pulmonary and cardiac factors in chronic lung disorders, Am. Heart Jr., 1936, xii, 257. CrossrefGoogle Scholar5. 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Author, Article, and Disclosure InformationAffiliations: Iowa City, Iowa*Delivered before the American College of Physicians, New York, April 5, 1938.From the Department of Internal Medicine, State University of Iowa, Iowa City, Iowa. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPulmonary Emboli Masquerading as AsthmaAsthma and hay fever 1 November 1938Volume 12, Issue 5Page: 585-591KeywordsAsthmaDyspneaEdemaEmphysemaEpinephrineExerciseHeart diseases Issue Published: 1 November 1938 PDF downloadLoading ...