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CHAPTER 30．CORONARY DISEASE INCLUDING ANGINA PECTORIS＆By William D．Stroud，M．D．，and Morris W．Stroud，3rd，M．D 1001

Etiology 1005

Diagnosis 1008

Treatment 1014

Prognosis 1021

CHAPTER 31．RELIEF OF PAIN IN ANGINA PECTORIS＆By Francis C．Grant，M．D 1023

Anatomy and Physiology 1023

Blocking of Sensory Pathways 1024

CHAPTER 32．NOURISHMENT OF THE HEART BY CHANNELS OTHER THAN THE CORONARY ARTERIES＆By Samuel Bellet，M．D 1033

Extracardiac Anastomoses 1035

The Thebesian Vessels 1035

Nourishment by Reversal of Flow in the Cardiac Veins 1037

Artificial Production of an Accessory Circulation of the Heart Muscle 1038

Summary 1039

CHAPTER 33．DISTURBANCES OF THE HEARTBEAT＆By George R．Herrmann，M．D 1041

Classification of Disturbances of the Physiological Mechanisms of the Heartbeat 1049

Sinuatrial Sinus Tachycardia 1052

Sinuatrial Sinus Bradycardia 1059

Sinuatrial or Sinus Arrythmia 1067

S-A，Ectopic，or A-V Nodal Regular Rhythms 1070

Atrioventricular Rhythm 1071

Heterogenetic，Ectopic，Regular，and Irregular Rhythms 1074

Extrasystolic Arrhythmia，Extrasystoles，Ectopics，Premature Contractions or Systoles，Intermittency of the Pulse 1075

Paroxysmal Tachycardia 1082

Disorders of Impulse Conduction 1090

Syndrome of Asystolic Syncope 1096

Bundle Branch Block 1100

Alternation of the Pulse 1103

False Bundle Branch Block，Aberrant Atrioventricular Conduction Accelerated A-V Conduction，The Bundle of Kent，or the Wilson，Wolfe，Parkinson，and White Syndrome with Paroxysms of Pseudoventricular Tachycardia or Fibrillation 1105

The Most Serious Ectopic Heterogenetic Rhythms 1108

Atrial Fibrillation 1113

CHAPTER 34．PSYCHOSOMATIC ILLNESS＆By Joseph Hughes，M．D 1121

CHAPTER 35．PSYCHOSOMATIC ASPECTS OF CARDIOVASCULAR DISEASE＆By Edward Weiss，M．D 1131

Anxiety and the Heart 1131

＂Functional＂Heart Disease 1132

Symptoms 1133

Treatment 1137

Neurocirculatory Asthenia 1141

Hypertension and Anxiety 1145

Anxiety and Organic Heart Disease 1146

Emotional Problems of Myocardial Infarction 1148

Psychosis in Cardiac Disease 1048

CHAPTER 36．TRAUMA OF THE HEART＆By Hugh Barber，M．D 1151

Disorders of Rhythm 1152

Auricular Fibrillation 1152

Auricular Flutter 1153

Extrasystolic Arrhythmia 1153

Heart Block 1154

Ventricular Fibrillation 1154

Disorders of the Heart Rate 1154

Valvular Disease 1155

Contusion of the Heart 1158

Wounds of the Heart 1163

Primary Cardiac Overstrain 1163

Trauma of the Heart and Compensation 1166

CHAPTER 37．SHOCK＆By Norman E．Freeman，M．D 1169

Definition 1170

Clinical Picture 1171

Pathology 1173

Physiology 1173

Chemistry 1177

Etiology 1179

Prognosis 1182

Treatment 1182

Conclusions 1191

CHAPTER 38．RECENT ADVANCES IN REHABILITATION OF THE PATIENT WITH CARDIOVASCULAR DISEASE＆By Howard A．Rusk，M．D．，and Joseph G．Benton，M．D．，Ph．D 1195

CHAPTER 39．FORM OF THE ELECTROCARDIOGRAM＆By F．D．Johnston，M．D．，and E．W．Reynolds，Jr．，M．D 1207

Normal Electrocardiogram 1207

The P-R Interval 1208

The Q-R-S Interval 1209

The Q-T Interval 1209

Size of Deflections 1210

Discussion of Electrocardiographic Leads 1210

Intraventricular Block 1218

Ventricular Hypertrophy 1221

Abnormally Large or Small Q-R-S Deflections；Notching of Q-R-S 1224

The T Deflection and the Ventricular Gradient 1225

Myocardial Infarction 1226

Angina Pectoris 1231

CHAPTER 40．ELECTROCARDIOGRAPHY＆By Samuel Bellet，M．D．，and Thomas M．McMillan，M．D 1235

Introduction 1235

The Role of the Electrocardiogram in Cardiac Diagnosis 1235

The Instrument and Method 1236

The Normal Electrocardiogram in the Three Limb Leads 1238

Abnormalities and Variation of the Individual Waves in the Limb Leads and Certain Time Intervals 1244

The Arrhythmias 1258

The Normal Mechanism 1258

Classification of Arrhythmias 1259

Sinus Arrhythmia 1259

Sinoauricular Heart Block 1261

Prolonged Sinus Pauses(Cardiac Standstill) 1261

Auricular Extrasystoles 1261

Auricular Paroxysmal Tachycardia 1263

Auricular Disturbances Dependent on a Circus Movement 1264

Auricular Standstill 1270

Auriculoventricular Heart Block 1270

Auriculoventricular Nodal Rhythm 1273

Ventricular Extrasystoles 1277

Ventricular Paroxysmal Tachycardia 1279

Ventricular Fibrillation 1281

Pulsus Alternans 1282

Intracardiac Electrocardiography 1282

Esophageal Leads 1292

Unipolar Limb Leads 1294

Patterns Observed in Unipolar Limb Leads 1300

The Value of Unipolar Limb Leads 1304

The Precordial Leads 1305

Standardization of the Precordial Leads 1305

Physiologic Considerations concerning the Use of Precordial Leads 1309

Significance of the Electrocardiographic Deflections(Bipolar and Unipolar Leads) 1311

The Normal Precordial Leads 1313

Abnormalities in the Precordial Leads 1314

Additional Precordial Leads 1317

Significance of Tall R Waves in the Right Precordial Leads 1318

Myocardial Infarction 1334

Coronary Insufficiency 1367

Pulmonary Embolism 1370

Acute Pericarditis 1372

Unstable T Waves；Effect of Posture on the Electrocardiogram 1373

The Electrocardiogram in Altered Metabolic States 1375

Electrocardiogram in Infections and Intoxications 1379

The Electrocardiogram in Hypertension，Chronic Nephritis，and Uremia 1383

The Electrocardiogram in Avitaminosis 1384

The Electrocardiogram in Anemia 1385

The Electrocardiogram in Congenital Cardiac Anomalies 1385

The Electrocardiogram in Pregnancy 1386

The Electrocardiogram in Syncopal Attacks 1386

Artefacts in the Electrocardiogram 1388

Procedure in Interpretation of Electrocardiographic Records 1389

CHAPTER 41．THE BALLISTOCARDIOGRAM＆By Isaac Starr，M．D 1397

Introduction 1397

History 1397

Instruments 1397

The Record and Its Genesis 1401

Clinical Studies 1406

Utility of the Ballistocardiogram 1412

CHAPTER 42．ROENTGENOLOGY OF THE HEART AND GREAT VESSELS＆By Harry E．Ungerleider，M．D．，and Richard S．Gubner，M．D 1417

Methods of Examination 1417

Cardiac Enlargement 1434

Cardiac Measurements 1448

Measurement of the Aorta 1459

The Pulmonary Vessels 1461

Specific Types of Heart Disease 1465

CHAPTER 43．THE HEART IN DIPHTHERIA AND OTHER CONDITIONS＆By Joseph A．Wagner，M．D．，and John E．Strang，M．D 1513

Diphtheria 1513

Trypanosomiasis 1515

Virus Diseases 1515

Rickettsial Diseases 1518

Bacterial Diseases 1518

Fungus Diseases 1523

Myocarditis 1524

Trichiniasis 1526

Neoplasms of the Heart 1527

CHAPTER 44．PERIARTERITIS NODOSA＆By Marion A．Blankenhorn，M．D 1531

CHAPTER 45．THROMBOANGIITIS OBLITERANS(BUERGER＇S DISEASE)＆By Orville Horwitz，M．D 1539

CHAPTER 46．ERYTHERMALGIA(ERYTHROMELALGIA)OF THE EXTREMITIES＆By J．Earle Estes，Jr．，M．D．，and Edgar V．Allen，M．D 1547

CHAPTER 47．LYMPHEDEMA OF THE EXTREMITIES＆By Edgar V．Allen，M．D 1555

Noninflammatory Lymphedema 1556

Inflammatory Lymphedema 1558

Differential Diagnosis 1561

Medical Treatment 1562

Surgical Treament 1564

CHAPTER 48．SUDDEN EMBOLISM AND THROMBOSIS OF ARTERIES OF THE EXTREMITIES＆By J．Earle Estes，Jr．，M．D．and Edgar V．Allen，M．D 1567

Recurrent Acute Arterial Occlusion 1578

Efficacy of Medical Treatment 1578

CHAPTER 49．THROMBOPHLEBITIS＆By Nelson W．Barker，M．D 1581

Complications and Sequelae 1589

Treatment 1591

CHAPTER 50．ACQUIRED ARTERIOVENOUS FISTULA，TEMPORAL ARTERITIS，AND ANEURYSM＆By Edgar H．Hines，Jr．，M．D 1597

Acquired Arteriovenous Fistula 1597

Temporal Arteritis 1601

Aneurysm 1604

CHAPTER 51．ARTERIOSCLEROSIS OBLITERANS＆By Jerrold S．Lieberman，M．D．，and Irving S．Wright，M．D 1613

CHAPTER 52．RAYNAUD＇S SYNDROME；ACROCYANOSIS＆By Irving S．Wright，M．D 1637

Raynaud＇s Syndrome 1637

Acrocyanosis 1645

CHAPTER 53．VARICOSE VEINS＆H．O．McPheeters，M．D 1649