PULMONARY EMPHYSEMA; A STUDY OF ITS RELATION TO THE HEART AND PULMONARY ARTERIAL SYSTEM
Authors: Robert L. Parker
Journal: Annals of Internal Medicine (1940)

Article1 November 1940PULMONARY EMPHYSEMA; A STUDY OF ITS RELATION TO THE HEART AND PULMONARY ARTERIAL SYSTEMROBERT L. PARKER, M.D., F.A.C.P.ROBERT L. PARKER, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-5-795 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe effect of emphysema on the pulmonary circulation and its secondary influence on the heart continues to be a controversial subject. On the basis of the earlier necropsy examinations, the general opinion became well established that emphysema produced a barrier within the pulmonary circulation which led to hypertrophy of the right ventricle and frequently to congestive heart failure. This opinion gained general approval but in recent years considerable doubt has been raised concerning this previously established view. The historical background of this problem has been reviewed so excellently in a recent paper by Parkinson and Hoyle1that it is only...References1. PARKINSONHOYLE JC: The heart in emphysema, Quart. Jr. Med., n. s., 1937, vi, 59-86. Google Scholar2. GRIGGSCOGGINEVANS DECBN: Right ventricular hypertrophy and congestive failure in chronic pulmonary disease, Am. Heart Jr., 1939, xvii, 681-690. CrossrefGoogle Scholar3. ALEXANDERLUTENKOUNTZ HLDWB: Effects on the heart of long-standing bronchial asthma, Jr. Am. Med. Assoc., 1927, lxxxviii, 882-884. CrossrefGoogle Scholar4. KOUNTZALEXANDERDOWELL WBHLD: Emphysema simulating cardiac decompensation, Jr. Am. Med. Assoc., 1929, xciii, 1369-1371. CrossrefGoogle Scholar5. KOUNTZALEXANDERPRINZMETAL WBHLM: The heart in emphysema, Am. Heart Jr., 1936, xi, 163-172. CrossrefGoogle Scholar6. KOUNTZPEARSONKOENIG WBEFRF: Observations on intrapleural pressure and its influence on the relative circulation rate in emphysema, Jr. Clin. 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