As regards the varieties of functional and organic disease of the genitals met with in the 120 cases, and the number of instances complicated with heart trouble in each variety, I found:
| Chronic Metritis in 32 patients, complicated with cardiac disorder in | 13 instances. |
| Chronic Oöphoritis in 10 patients, complicated with cardiac disorder in | 4 instances. |
| Parametric Exudations in 14 patients, complicated with cardiac disorder in | 6 instances. |
| Chronic Endometritis in 16 patients, complicated with cardiac disorder in | 2 instances. |
| Flexions and Versions of the Uterus in 26 patients, complicated with cardiac disorder in | 9 instances. |
| Stenosis of the Cervix in 6 patients, complicated with cardiac disorder in | 0 instances. |
| Tumors of the Uterus and its Annexa in 8 patients, complicated with cardiac disorder in | 4 instances. |
| Infantile Uterus in 3 patients, complicated with cardiac disorder in | 0 instances. |
| Colpitis (Vaginitis) in 5 patients, complicated with cardiac disorder in | 0 instances. |
From these figures we obtain the following percentages, showing the frequency with which heart trouble occurred as a complication of the respective diseases of the genital organs:
| In Chronic Metritis, cardiac disorder was found in | 40.6 per cent. of the cases. |
| In Chronic Oöphoritis, cardiac disorder was found in | 40 per cent. of the cases. |
| In Parametric Exudations, cardiac disorder was found in | 42.8 per cent. of the cases. |
| In Chronic Endometritis, cardiac disorder was found in | 12.5 per cent. of the cases. |
| In Versions and Flexions of the Uterus, cardiac disorder was found in | 34.6 per cent. of the cases. |
| In Tumors of the Uterus and its Annexa, cardiac disorder was found in | 50 per cent. of the cases. |
To summarize the result of my observations regarding the cardiac disorders secondary to diseases of the female genital organs:
1. Tachycardial paroxysms in cases of amenorrhœa were premenstrual in rhythm, the paroxysms occurred, that is to say, some days before the due date of the suppressed flow.
2. In cases of dysmenorrhœa, I observed heart trouble with severe dyspnœa and feelings of anxiety, also in some cases symptoms of cardiac asthenia; these symptoms were perhaps dependent upon acute dilatation of the heart. The heart trouble associated with profuse menorrhagia exhibited similar characters.
3. Attacks of pseudo-angina pectoris occurred in women in whom local treatment for disease of the genital organs had been carried out for a long time, and in cases in which operative measures were in contemplation.
4. Paroxysms of tachycardia and cardiac distress were observed in connexion with displacements of the uterus, and especially in cases of retroflexion; also in association with oöphoritis and with parametric exudations.
5. Cases of degeneration of the myocardium, sometimes running a rapidly fatal course, were found to be consecutive to tumors of the uterus and its annexa, especially to myomata of the uterus.