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DISEASES OF THE HEART.
Diseases of the heart are best distinguished from pul monary diseases, with which they are often confounded, by auscultation. The heart’s beats may be felt, heard, and counted, in either health or disease, and can therefore be contrasted. The contrast between the action of a healthy and a diseased heart should be carefully studied. Apply the flat of the hand or the ear to the left side, just be hind the elbow. The stethoscope (a hollow or perforated piece of wood) may also be used. In health two succes sive sounds, followed by an interval of silence, are heard. Exercise and agitation increase the heart’s action.
 Fig. 27. A horse with Heart Disease.
Persistent coldness of the extremities, swelling of the legs, chest, and abdomen, fainting fits, dizziness, languor, difficult breathing, especially after severe exertion, are more or less constant symptoms of heart disease.
Disease of the heart is either the result of functional disturbance or structural alteration. Disease of the heart and its membranes may be either acute or chronic.
DISEASES OF THE HEART. 129
INFLAMMATION OF THE PERICARDIUM (PERICARDITIS).
The pericardium is the watery, membranous bag that contains the heart. Pericarditis may be the result of cold, exposure, or fatigue, but it is oftener the result of rheu matic fever, strangles, influenza, purpura, blood contam inations, diseases of the lungs, pleura, and heart itself, cancer, parasitic growths, wounds, &c.
The disease, says Percivall, usually follows or is secon dary to pleurisy. The effusions of water and lymph pe culiar to pleurisy are often found within the pericardium, “as though one membrane had sympathized with the other.” The lymph is mostly disposed in layers on the internal surface of the sac and the exterior of the heart to such a degree as to cause adhesion between the two. It is of an albuminous character. In time, when lining the pericardium, it becomes firm, thin, and white. In a recorded case it was of the nature of cartilage, and about an eighth of an inch in thickness.
The symptoms of pericarditis are exceedingly variable. (Robertson.)
Remedy.—Cautious bleeding, followed by small doses of aconite, is serviceable in acute independent cases, but is unsuitable in second stages or in epizootic attacks.
Morphine hypodermically usually relieves acute pain. Woolen cloths wrung out of hot water to chest for an hour or two at a time. Soap liniment, 1-20th part opium tincture, rubbed in freely between fomentations. Sodium bicarbonate and sulphate in drinking water relieve fever and maintain action of bowels. Digitalis may be used carefully when heart action is feeble and rapid. In more advanced stage, and when fluid is. effused, supporting treatment needful. Moderate doses of stimulants; potas sium or ferrous iodide, with mustard or cantharides to chest. Digitalis and strychnine assist absorption of fluid
130
THE DISEASES OF THE HORSE.
by raising blood pressure in kidney arteries and promoting urination.
Where dropsy of the pericardium (hydrops pericardi), persists, remove fluid by special trocar. This is sometimes described as a distinct disease.
For doses, see pages 13 to 29.
PALPITATION OF THE HEART
Is usually tumultuous and rapid action. Sometimes there is a peculiar sound and irregular heart and arterial pulsations. Sometimes the heart action seems completely confused, and sometimes there is intermittency. The palpitation may be continuous or only at intervals.
The causes of palpitation may be too much blood, blood contamination, poverty of blood, &c. Nervous and ex citable temperament, debility, exhaustion, and youth are said to be predisposing causes.
Remedy.—Rest, quiet, generous diet. Iron tonics for anæmic murmurs (a sound caused by deficiency of blood). Small doses of aconite for violent action. Digitalis for weak and irregular action. Bromides for irregular and fluttering action. Laxatives for digestive derangement. Belladonna for strain or overexertion. Strychnine is a heart tonic. (For a list of heart and other tonics, see page 37.)
Where there is fainting or loss of sensation and motion, dash cold water over the head ; ammonia to nostrils. If the condition results from loss of blood, transfuse blood from a healthy and vigorous horse.
For doses, see pages 13 to 29.
OTHER HEART DISEASES.
There are other heart diseases, such as inflammation of both the membrane and substance of the heart (endocard itis and carditis) ; both enlargement and wasting of the heart ; fatty changes in the heart ; rupture of the heart,
RARE DISEASES OF THE HEART. 131
and also the pericardium ; adventitious growths in connec tion with the heart, such as parasitic and malignant, fibroid and vascular tumors ; disease of the valves and orifices ; ossification (rare) ; air in the heart ; enlargement of the aorta.
The symptoms of most of these affections — many of which are rare—are puzzling even to veterinarians.
Where heart disease is suspected, avoid overwork and excitement.
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