Atjg-, 195a] EDITORIAL .

449

remove from the intestine sodium: The patients

Indian Medical Gazette do not gasp for breath and take as much salt in
their food as they like, in spite of the risk of
oedema. Precautions are necessary ('Martin-
dale', Falk, 1953).
AUGUST
Cor Pulmonale, somehow or other, at-
tracted very little attention, although it was
described by Ayerza (b. 1861 d. 1918) some
time ago. Other workers' names have been
COR PULMONALE
associated with certain stages of it: Giesbock's
j-11 this disease the right side of the heart is disease, Osier-Yaquez syndrome. Recently it
tin to meet and overcome obstruc-
0r^r-?Phied has attracted attention (Reports of Societies,
.. in
the pulmonary circulation. The 1951; Harrison, loc. cit.). A paper on it appears
often designated 'black cardiacs'.suffer in this issue of the journal (Lane, R., 417).
+
frQlen^s
m
Pulmonary fibrosis, polycythemia and in- The writer has taken full advantage
page
of a case
S
Us n ?^anosis (Hall, 1948).
It is observed to give a talk, hold a demonstration and write
?
emPhysema, fibrosis of the lungs, an account of the disease, including the treat-
sar
ah
C01(^0sis and silicosis. It is encountered in ment.
^ ^er cen^ deaths from pulmonary
REFERENCES
^ erculosis (Ackerman & Kasuga, quoted by
*

0?re, 1951). Any condition compressing in- Beaumont, G. E. (1953). Medicine. 6th Edition.
to ra^ng and condensing the lungs is supposed J. and A. Churchill Ltd.,
cause the diseases merely mechanically. London.
'

definition is not exclusive of the state

'
Martindale (Council Extra Pharmacopoeia.
of ,
of the Pharmaceuti- (Martindale) Vol. I. 23rd
a*rs ^suiting from a defective mitral valve cal Society of Great Edition. The Pharma-
Beaumont, 1953). britain). (1952). ceutical Press, London.

jj. ?ub-acute Falk:, 0. P. J. (1953)

and acute forms are described and .. Current Therapy. Edited by
not be possible to distinguish clinically H. F. Conn. W. B.
b Saunders Company, Phila-
ween them and the Congestive Heart Failure,
delphia and London.
at the stage of Right Heart Failure, as
<tiServed nature of heart failure is still uncer-
Hall, E. M. (1948) ..
Patholoqy, Anderson. The
t .e,exact C. V. Mosby Company,
j.lri (Beaumont loc. cit). Post mortem the St. Louis.
?posis may be better founded if an actual Harrison, C. V. (1953). Recent Advances in Patho-
Unsual obstruction is found in the pulmonary loqy. 6th Edition. Edited
ar+
Electrocardiography in spite of many by G. Hadfield. J. and A.
adH^' ^ea<^s does no^ appear to have Churchill Ltd., London.
ari!^ ?ns
"ed much to our knowledge. Moore, R. A. (1951) ..
Textbook of Patholoqy. 2nd
Edition. W. B. Saunders
Two procedures, essentially clinical, have
new
Company, Philadelphia and
yet been made use of in unravelling the London.
^1ystery of the genesis of Cor, Pulmonale. They Reports of Societies Brit. Med. J., i, 581.
(1951).
of*-the(1)vascular
?
The removal of a lung. The reduction
bed is not likely to be less than
e one Richards, D. W. (1951). Textbook of Medicine. Cecil
caused by 'kyphoscoliosis, thoracoplasty, and Loeb. W. B. Saunders
?
^niatous or cicatrical pulmonary arteritis, Company, Philadelphia and
an aneurysm on the main pulmonary London.
arf SS-Ure ^
Series, pulmonary arteriosclerosis, schistoso-
las\s, pulmonary emphysema, fibrosis, tuber-
a^sis, pneumokoniosis, bronchiectasis bronchial
/ hma, or multiple cysts of the lungs'
f ?ni typical list demanded by examiners
examinees): Yet parts from a lung and
an entire lung are being removed by
ftoracic surgeons frequently. (2) The cardiac
atheter. This tube measures pressures in and
?ear the heart and has disclosed an unexpected
act : The diastolic pressure in the pulmonary
^Hery falls onSuch exertion instead of rising, (Harri-
J?*1, 1953). is the reflex action involved,
he opinion based on mere mechanics must be
Revised.
Of the advances in the treatment of
recent
p
Heart Failure (with which Cor
p?ngestive
llhnonale is bound up) may be mentioned I131
kation-exchange-resins. The former re-
cces metabolism and need for 02 and the latter