Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
In some experiments to determine the changes upon the blood pressure
induced by hot and cold applications on and within the abdomen, Hammett,
Tice and Larson found that heat applied to the outside of the abdomen
raises the blood pressure. The application of cold produces no change.
Either hot or cold saline introduced within the abdomen causes a fall in
blood pressure.
Experimentally, certain drugs such as adrenalin, barium chloride,
nicotine, digitalis, strophanthus and the infundibular portion of the
pituitary body known as pituitrin raise the maximum pressure. In the
clinic it is difficult to conclude always whether the drug alone is
responsible for rise in maximum pressure. Adrenalin given intravenously
will raise the pressure. So will digitalis and strophanthus. I have
watched the maximum pressure rise within three minutes following an
intravenous injection of gr. 1/100 (0.0006 gm.) strophanthin 20 mm. of
Hg: I have seen the subcutaneous injection of 10 minims of adrenalin
repeated several times daily for six months fail to have the least
effect on the blood pressure picture.
Elevation of the foot of the bed about nine inches proved so efficacious
in steadying failing hearts in acute infectious diseases, particularly
typhoid, that a study was made of the effect upon blood pressure. Many
observations were made, but no instrumental proof of rise in blood
pressure could be adduced.
Exercise always raises blood pressure, the maximum much more than the
minimum. In athletes the minimum pressure may actually fall, the maximum
rise so that a greater volume output results from the greater pulse
pressure.
Shock and hemorrhage lower it. Hemorrhage lowers also the pulse
pressure, and it may be possible to prognosticate internal hemorrhage by
frequent estimations of the systolic and diastolic pressures (Wiggers).
Compression of the superior mesenteric artery or the celiac axis in dogs
raises the blood pressure measured in the carotid artery for a period of
at least an hour. This seems to be dependent on purely mechanical
causes, and is not a reflex vasomotor phenomenon. (Longcope and
McClintock.)
Experimentally blood pressure can be increased by direct compression of
the brain as Cushing has shown. It was thought at one time that in man
the same effect would result from tumor of the brain or especially from
subdural or extradural hemorrhage following head injuries. This,
however, is not the case. No information of great value can be obtained
by the measurement of blood pressure in these states. We do know that
too high and too prolonged compression of the medulla brings about
exhaustion of the cardiac center accompanied with rapid pulse, low
pressure and eventual death.
=Hypertension=
Public-domain text, read in full here on John Shaqi.
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