INTRACTABLE HEART FAILURE
Authors: S PROGER, J J O'CONNOR
Journal: Annals of Internal Medicine (1950)

Article1 December 1950INTRACTABLE HEART FAILURESAMUEL PROGER, M.D., JOSEPH J. O'CONNOR, M.D.SAMUEL PROGER, M.D.Search for more papers by this author, JOSEPH J. O'CONNOR, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-33-6-1349 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIntractable heart failure in this discussion is defined as that failure which is apparently resistant to further treatment. An evaluation of such refractory failure should concern itself with the following questions:1. Is the diagnosis correct?2. Has the treatment been really adequate?3. Has the patient been incorrectly treated and is the lack of further therapeutic response due to certain derangements resulting from this incorrect treatment?4. If standard measures have been correctly employed, to what extent is the continuing intractability due to extracardiac factors?5. If all possible therapy is no longer effective, what are the characteristics of...Bibliography1. CrawfordMcIntosh JHJF: Observations on the use of novasurol in edema due to heart failure, J. Clin. Investigation 1: 333, 1925. CrossrefMedlineGoogle Scholar2. BlumgartGilliganVolk HLDRMC: Action of diuretic drugs. II. Effect of diuretic drugs on the acid base equilibrium of the blood in patients with cardiac edema. Medical papers dedicated to Henry Asbury Christian, 1936, Waverly Press, Baltimore, p. 191. Google Scholar3. SchwartzWallace WBWM: Observations on electrolyte balance during mercurial diuresis in congestive heart failure, J. Clin. Investigation 29: 844, 1950. MedlineGoogle Scholar4. Schwartz WB: Some electrolyte factors influencing the response to mercurial diuretics in congestive heart failure, Bull. New Eng. M. Center 12: 213, 1950. MedlineGoogle Scholar5. Van Slyke DD: The effects of shock on the kidney, Ann. Int. Med. 28: 701, 1948. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Presented at the Thirty-first Annual Session of the American College of Physicians, Boston, Mass., April 20, 1950.From the Pratt Diagnostic Clinic, New England Center Hospital, and the Department of Medicine, Tufts College Medical School. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPseudo‐Intractable Heart Failure With Edema: Some of the Mechanisms and Means for Restoring Response to TreatmentQuecksilberhaltige DiureticaTherapie der HerzinsuffizienzA Simple Method for Detecting the Salt Depletion Syndrome During Cardiac TherapyThe relationship of some electrolytes of the serum, edema fluid, and urine in a case of intractable heart failureElectrolyte and Fluid Disturbances in Congestive Heart FailureGeneral Practice Review 1 December 1950Volume 33, Issue 6Page: 1349-1356KeywordsDiagnostic medicineHeart failureHospital medicine ePublished: 1 December 2008 Issue Published: 1 December 1950 PDF downloadLoading ...