Colles-Stokes contributions to the concept of heart failure

Ventura, Hector O. and Mehra, Mandeep R. (1998) Colles-Stokes contributions to the concept of heart failure. American Journal of Cardiology, 81 12: 1470-1473. doi:10.1016/S0002-9149(98)00206-9

Author Ventura, Hector O.
Mehra, Mandeep R.
Title Colles-Stokes contributions to the concept of heart failure
Journal name American Journal of Cardiology   Check publisher's open access policy
ISSN 0002-9149
Publication date 1998-06
Sub-type Article (original research)
DOI 10.1016/S0002-9149(98)00206-9
Volume 81
Issue 12
Start page 1470
End page 1473
Total pages 4
Place of publication Bridgewater, NJ, United States
Publisher Excerpta Medica
Language eng
Abstract 'Colles fracture,' 'Colles law,' 'Stakes-Adams syndrome,' 'Cheyne- Stakes respiration,' and 'Corrigan pulse' are some of the contributions of the Irish school that are utilized far teaching purposes in medical schools and training programs, as well as in daily practice of medicine. We wish to add an important description by Drs. Colles and Stokes that personifies the considerable personal contributions of these 2 physicians in our understanding of the pathophysiologic expression of the syndrome of heart failure. The clinical-pathologic correlation of the disease that affected Dr. Colles is well described by Dr. Stakes in his treatise Diseases of the Heart and the Aorta. He recognized the cyclical nature of frequent decompensations in heart failure, the relation of clinical worsening in conjunction with reduced urine output, as well as the importance of reestablishing urinary flow to achieve a decrease in dyspnea. Dr. Colles also demonstrated a profound clinical insight when he noticed, first, that his affliction was 'eventually a fatal disease and that remedies that work may lose effect over time,' illustrating an observation that has stood the test of time and, secondly, when he told Dr. Smith' . . . I would direct particular attention to the heart and the lungs... and the swelling in the right hypochondrium... I suspect that there is some connexion between this swelling of the hypochondrium and the diseased state of the heart.' We believe that the Colles-Stokes contributions, both in the clinical as well as the clinicalpathologic arenas, are one of the landmark descriptions that helped to evolve the concept of the syndrome of heart failure.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 14 Mar 2011, 10:16:55 EST