CHANGING VIEWS ON HEART FAILURE
Authors: John Mcmichael
Journal: Annals of Internal Medicine (1959)

Article1 October 1959CHANGING VIEWS ON HEART FAILUREJOHN MCMICHAEL, M.D., F.R.C.P., F.R.S., F.A.C.P. (Hon.)JOHN MCMICHAEL, M.D., F.R.C.P., F.R.S., F.A.C.P. (Hon.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-4-635 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe total picture of cardiac failure, with consequent dyspnea and edema as major manifestations, is one of considerable complexity. These clinical consequences are often given major attention in discussions of cardiac insufficiency, and at one time it was cynically remarked that the major offending organ in heart failure was the kidney. Certainly more attention was often paid to the kidney than to the central pump which is primarily involved.Accurate methods of cardiac output determination put an end to many speculative hypotheses, and we can well remember the astonishment and incredulity with which the concept of "high output failure" was...Bibliography1. HickamCargill JBWH: Effects of exercise on cardiac output and pulmonary arterial pressure in normal persons and in patients with cardiovascular disease and pulmonary emphysema, J. Clin. Investigation 27: 10, 1948. CrossrefMedlineGoogle Scholar2. HowarthLowe SJB: The mechanism of effort syncope in primary pulmonary hypertension and cyanotic congenital heart disease, Brit. Heart J. 15: 47, 1953. CrossrefMedlineGoogle Scholar3. Kincaid SmithBarlow PJ: Brit. Heart J., in press. Google Scholar4. McMichaelShillingford JJP: The role of valvular incompetence in heart failure, Brit. M. J. 1: 537, 1957. CrossrefMedlineGoogle Scholar5. McMichael J: Cardiotonics and diuretics in human heart failure, J. Chron. Dis. 9: 602, 1959. CrossrefMedlineGoogle Scholar6. MullerRorvik OK: Haemodynamic consequences of coronary heart disease, Brit. Heart J. 20: 302, 1958. CrossrefMedlineGoogle Scholar7. PughWyndham LGC: The circulatory effects of mercurial diuretics in congestive heart failure, Clin. Sc. 8: 11, 1959. Google Scholar8. SarnoffBerglund SJE: Ventricular function. I. Starling's law of the heart studied by means of simultaneous right and left ventricular function curves in the dog, Circulation 9: 706, 1954. CrossrefMedlineGoogle Scholar9. ShillingfordMuller JPO: Tricuspid incompetence, Brit. Heart J. 16: 195, 1954. CrossrefMedlineGoogle Scholar10. SobolKesslerRaderEichna BJRHBLW: Cardiac, hemodynamic and renal functions in congestive failure during induced peripheral vasodilation; relationships to Starling's law of the heart in man, J. Clin. Investigation 38: 557, 1959. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: London,*Received for publication May 16, 1959.Presented as the Lilly Lecture at the Fortieth Annual Session of The American College of Physicians, Chicago, Illinois, April 22, 1959.Requests for reprints should be addressed to John McMichael, M.D., Postgraduate Medical School, Ducane Road, London W.12,England. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRole of nitrates in congestive heart failure 1 October 1959Volume 51, Issue 4Page: 635-640KeywordsCardiac outputChronic bronchitisDyspneaEdemaHeart failureKidneysPhlebotomyRenal failure ePublished: 1 December 2008 Issue Published: 1 October 1959 Copyright & PermissionsCopyright ©, 1959, by The American College of PhysiciansPDF downloadLoading ...