Carditis. Myocarditis. 473 



London. Lafosse records two cases of gangrene of the internal 

 layers of muscle in endocarditis. 



The symptoms are those of acute heart disease, generally modi- 

 fied somewhat by the precise location of the inflamed spot, and 

 treatment need not differ materially from that applied for inflam- 

 mation of the invfesting membranes, inner and outer, and for the 

 infectious disease which it comphcates. Calming of the heart 

 action by digitalis, strophanthus or sparteine may be useful, and 

 eliminative. 



