Madame X was greatly impressed, and afterward
admitted that her emotions had been genuine and strong. The
blood-pressure, which was in this subject habitually 65 millimeters, rose
to 150 and even 160, indicating a very high pressure, which rarely occurs;
at the same time Madame X looked very emotional and troubled.[112]
Some authorities are of opinion that irregularities in the
accomplishment of the sexual act are specially liable to cause
disturbances in the circulation. Thus Kisch, of Prague, refers to
the case of a couple practising coitus interruptus--the husband
withdrawing before ejaculation--in which the wife, a vigorous
woman, became liable after some years to attacks termed by Kisch
_neurasthenia cordis vasomotoria_, in which there was at daily or
longer intervals palpitation, with feelings of anxiety, headache,
dizziness, muscular weakness and tendency to faint. He regards
coitus as a cause of various heart troubles in women: (1) Attacks
of tachycardia in very excitable and sexually inclined women; (2)
attacks of tachycardia with dyspnoea in young women, with
vaginismus; (3) cardiac symptoms with lowered vascular tone in
women who for a long time have practised coitus interruptus
without complete sexual gratification (Kisch, "Herzbeschwerden
der Frauen verursacht durch den Cohabitationsact," _Muenchener
Medizinisches Wochenschrift_, 1897, p.
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