DISEASES OF THE HEART. 229 



INFLAMMATORY DISEASES OF THE HEART. 



This will embrace myocarditis, endocarditis, and pericarditis. 



MYOCABDITIS, OB INFLAMMATION OF THE MUSCULAR STBUCTUBE OF THE HEABT. 



The heart muscle sometimes becomes inflamed as a complication or 

 result of the existence of general or febrile and of infectious diseases. 

 Severe influenza or infectious pneumonia is not infrequently followed 

 by myocarditis. By extension of inflammation of the endocardium 

 or pericardium the muscle of the heart may become involved. Over- 

 exertion or especially hard work continued for a long time may cause 

 this muscle to become inflamed. 



Symptoms. Inflammation of the heart muscle is shown by inabil- 

 ity to contract forcibly; this results in a rapid but weak, soft pulse 

 and irregular heart sounds. The pulse may be quite irregular as a 

 result of the irregular, tumultuous action of the heart. There is 

 great general weakness, shortness of breath, and rapid respiratory 

 movements. In some cases, where the muscle is very mu'ch softened 

 and weakened, or, perhaps when an abscess forms in the wall of the 

 heart, the course of the disease is very rapid and terminates suddenly 

 from paralysis or rupture of the heart. 



Alterations. The heart muscle has a brownish or yellowish, boiled 

 appearance, and is so brittle that it tears easily. There may be a 

 spotted appearance of the muscle from the intense changes in struc- 

 ture in small areas; these small areas may be due to suppuration, in 

 which case they have the characteristics of small abscesses. This last 

 condition is seen in pyemia (blood poisoning). If the disease is of 

 long duration, the fibrous tissue in the wall of the heart may increase 

 to such an extent as to produce an unnatural hardness of the wall. 



Treatment. In this disease the nutrition and strength of the heart 

 should be kept up as much as possible with good food, good care, 

 and heart tonics and stimulants. The horse should be tempted to eat 

 such foods as he will take; he should be kept in an airy box stall; his 

 legs should be well rubbed as often as necessary to keep them warm 

 and bandaged loosely with flannel bandages. Internally, the horse 

 may have strychnia in 2-grain doses twice daily, whisky in 4-ounce 

 doses every two to four hours, digitalis in the form of the tincture in 

 doses of 1 dram every three to six hours. Artificial Carlsbad salts in 

 heaping tablespoonful doses in the feed may be given three times daily 

 for a couple of weeks. Rest is of the greatest importance and should 

 be allowed for a few weeks after recovery seems to be complete. 



ENDOCARDITIS, OB INFLAMMATION OF THE LINING MEMBRANE OF THE HEAET, 

 USUALLY INVOLVING THE MUSCULAR STRUCTURE. 



Endocarditis frequently occurs as a complication of rheumatism, 

 some of the specific or zymotic fevers, specific poisoning, etc. This 

 is a more frequent disease among horses than is generally known, 



