Document X8z2vw1Z7Rbmrx5LvL4BodbMG

Hygt.n. Dll..! Auta.t. 1961 lbou|M to bo. Tbo moil important factor, which determine longevity after a myocardial la- '.1 . larciion are the hereditary conetitotlonal elate of the patient and environmental condition*. .. - J. Am. Med, Aaen."Raf*renc*a and Review* yi) primary Myocardial Pleee, N. O. Towlar, M. Qttrt and D T. AalAdtt Tne*ac* oi Cheat 41. SW^fOi (dun* i ?). This pipit dAiert^M 23 patients who kid cm|mHvi hurt failure without eUnleil or pathologic evident# of the primary cium. Twenty of these pitliMl were neeropeiedt three bid myocardial biopsy. The*#!## of these patients were* from IS months to 6S yeire it deetb. Nineteen were melee end 4 were females* Eight bad heart failure for $ yeere or more} were ilcokoUei 3 bad nutritional clrrboeU* Transient mitral or tricuspid systolic murmurs, and tpjaitUiUeUc f*jlwpchythmnnragreioomonao.,,dklijin1iBlFrfll*liwa.we^ynaaofilda A* 'JUght heart estheteriaation in S patients showed evidence of decreased eerdiae output and biventricola? * tellure. AH had left ventricular enlargement /ft necropsy** Mural thrombi were preeefp, in 12} 'A hid systenjit embolli'3 bad'pylmenary emboli'.. They# yt*e/ao evidence of'tofoitary <U*9**f*.. *. ' iltyofbrdltia,or epbendocerdlal"fiVroelasloiJI. idiopathic myocardial dUsese'le 0( cUaijeaTim-- portative because It may alihulate coronar/effery disease, byparteasKtejbearrdfaahse, peri* cardial ef/usion, or, rheumatic bean, disease. The cauep le'onfcaown* .'OWy-ona'petlent inthU T group hadp fdiAlly Matory'of eimUaV heart disease*,/ , . , . -* Authora'.euinjnary t t|g Emotional Stress and Coronary Heart Dleea-e In American Physicians, Panrtete, and Lawyer*, H. 1. Ruessh, Am* J. Med. Sci. 243. 7l6(June 19621. further scrutiny is given the hypotbeels that stress Is en important trigger variable ta the etiology of coronary Heart disease in populations subsisting on a "high fat" diet. Ques tionnaire* were sent to 10,000 physicians, dentists, and attorneys engaged in general practice or in selected occupational specialties. Comparisons were made between groups showing vary ing degrees of occupational stress. In each professionalise*, a striking teodency was observpd forprevalence rates of reported coronary heart disease to increase with advance in occupational . stress. Central practitioner# la each ilcld showed coronary heart disease prevalence rate* 2 to 3 tlmea those of the specialists selected for survey. No consistent relatienebip was found for prevalsnee rates of reportsd hypertension and occupational stress* The findings of these surveys suggest that emotional stress Is an aeeslerating factor in atherogenssis, when diet is relatively high in apimal fat* 2* Am* Med* Assn, References and Review# 117 Cardnomh of the l*undt Review of 309 Cases, M* 8. Sabour, et al. Die'eaaee of Cheat 41,, 530 (May 1962). The authors reviewed 509 patients with cancer of the lung 'front.Ain-Shame University Hospital, Cairo, and Springfield Hospital, Grimsby. Cancer of the lung was 9 tlmea more pre valent in men than in women, and cigarette smoking appeared to be related to the occurrence of the squamous-cell carcinoma. Maes radiography detected 5,23b, The condition wee most pre valent in the upper lobes and only rarely seen in the anterior segments of the lung* Needle biopsy of the lung was the most successful method of confirming the diagnosis in suspected cease* When first assessed, two-thirde of the patients were inoperable, and reeeetion was successful in only 11% of the patients* The survival rate of the resected group over a S-year period was 19ft. Radical radiation therapy proved helpful in the initial control of undifferentiated-cell tumors. Palliative radiation therapy had no value in prolonging life, but was much more ef fective in the relief of symptoms than nitrogen mustard or triethylene melamine. -- 2. Am. Med. Assn, References end Reviews ,. ^'Ajurstlons ln Growth of Strain L Cells Erposed to Smoke Oases.* ' P. Cooper, M, KUln and Goldring,' Proc, Soc. E*p.U. Biol. Usd. 115 ll-li (May 19621. * Under the conditions of thi's study U appears that there Is a 'tonic" effect of smoke Vises on strain L cells In culture. This results both in morphological changes ta the cells srfd in alterations ia growth curves as indicated by. t(ia reduction of Celt populations* The .smoke