Richmond times-dispatch. [volume] (Richmond, Va.) 1914-current, 1917-04-08
BY Vim. Brady, M. D.


URN IRIS adventurous sounds of musical char
lvl acter "hlch not every heart produce
who is anemc is likely to have beautiful murmur
ano victim or gotre almost always one In fact
great many people in whom pick no flaws by the
most delicate tests of medical harbor mrrmrs
ana what dscouragng the serious types of
heart disease present audible instance
a pronounced valvular leakage, with dated failing
heart commonly produces no mlrmr when conditions ave-
aai ing IL rest and care proves successful
storing fairly competent heart action then as the ma
rents strength and efficiency return back comes the
murmur too, musical as ever, like song of cheer
30 the presence OF a murmur in near the heart in.
stead OF beng bad omen is generally favorable sign
Suppose there is leakage of heart valve The valve
eanet mas become slightly distorted result of the slow
contraction OF scar left in it by former inamma-
on-perhaps not recognized at the time it occurred The
dsoron prevents perfect closure of the valve at each
heart beat and little blood leaks back again into the
Venrcle from the great artery he aora or into the
auce OF the heart from the venrcle as the case NAV
be- In leaking back the blood passing over the tense
valve sets vibrating Just the column of air sets the
reed OF an organ pipe vibrating and in this way an ad
ventltlous sound called murmur, is produced sound
winch infrudes upon the ordinary music OF the heart
1t is cheerful sound because it is the sound of ef
hcency It signifies that the muscle reactn TO the
increased demand put to compensate the back
now or leakage has responded by increasing in bulk and
strength sufficiently maintain competent circulation
under ordinary conditions. with valvuar heart
dsease must have stronger heart than with undam
aged valves IN order to be comfortable Hundreds of per-
sons with vavuar leakage of this are SO comfortable
ana 1eei SO we'll IN every way that they suspect
here is anything wrong with the heart unless they hap
pen to be exposed TO insurance examination or come
down with severe illness like typhoid or men
mona, winch places unusual strain upon the circula
ton or unless they attempt mode of life which proves
too strenuous.
Heart failure is by the sudden unexpected
or mysterious seizure popularity imagined On the con
trary 1T always gives gna far advance of an attack
Inc victim too commonly ignores the signals or msn.
terprets them by the aid of his friend in the corner drug
store or nosrum advertisement the weather or bust
ness anxlees or other Of miscaluculaon But no
victim or heart failure who succumbs be said to have
been stricken unwarned he down because he has
placed the matter of personal health secondary nosi
ton in his scheme of life
The most modern studies of pathology have taught us
That the earliest symptoms of heart failure felt by the
patient long before the condition becomes manifest to the
Physlcian me symptoms are produced by beginning c1-
hallstlon CT the reserve power Of the heart
If YOU distance you grow short of breath he
cause the exertlon uses up the ordinary available energy
OF the heart and calls upon the The reserve en-
ergy IS jealousy conserved by nature and expended
grldgngly But if you keep on running supposng Won
are sound and true, will presently get your second
wind and find yourself able to run long distance at
moderate speed without getting quite out of breath You
arc using the reserve power By practice by training in
tegenty may increase the reserve power as to
withstand an extraordinarily big strain.
This is what happens when athlete trains for CON
test The muscles OF the whole heart, but principally the
yentrlces undergo Of hypertrophy or thcken
lng just as the biceps be increased in bulk by exer
else; and the right ventrcle, which pumps the blood
through the lungs is able to do more work keeping
the blood much better aeraed in time of great physical
exertion. An athlete has large heart He mlst,haye
enlargement OF the heart in order to endure the Great
strain OF contest If he keeps up moderate athletic
work the year round he will be comfortable but if he sud
denly begins to loaf following the big contest then That
big heart is likely begin to bother him considerahv
like powerful automobile engine with the clutch thrown