Maurer,[54] Gibson,[55] François Frank,[56] and Edgren[57] deal
with this problem. The curve of intraventricular pressure cannot be
studied in man for obvious reasons, and only in some cases has an
attempt been made to compare the sphygmographic curve with the curve
of intraventricular pressure obtained from animals. One of the most
interesting attempts in this line will be mentioned later.
To the second class belong all those investigations, by which
experimental evidence in favor of one or the other hypothesis has been
collected. The experiments which belong to this class are in so far
more decisive as the conditions of the experiments are better known
and, therefore, easier to interpret. Von Kries proved the existence of
the dicrotic in the femoral artery of an animal after having replaced
the heart by a bag filled with liquid.[58] Grashey[59] and Hoorweg[60]
have demonstrated the existence of secondary waves in models, on which
peripheral reflection was impossible. To the same type of experiments
belong Marey's[61] and Grashey's registration of the waves in elastic
tubes, and Mach's[62] tracings from a mechanical model on which the
resulting movement of two simple components could be registered.
Without giving any physiological theory Mach showed how curves similar
to the pulse curves can be obtained by the registration of a movement,
the mechanical conditions of which are known.
As the results of these investigations, we may state the following
facts as arguments against any hypothesis of the peripheral origin of
the dicrotic elevation.
(1) Automatic registration of the pulse wave shows that the dicrotic
appears sooner in the regions nearer to the heart than in regions
which are more distant. The opposite would be the case if the dicrotic
elevation were due to a wave travelling from the periphery to the heart.
(2) The dicrotic appears at the same time after the primary wave in a
dwarf as in a tall man. This would be impossible if the wave had to
travel so much farther.
(3) Inhalation of amyl nitrite makes the dicrotic almost disappear. The
adherents of the theory of the peripheral origin of the dicrotic wave
explain this fact by supposing that this drug dilates the arterioles
and makes little reflection possible. Their opponents say that the
action of the heart and the resistance of the system are so enfeebled
that the backward flow is slight and gives rise only to a small wave.
(4) If an artery is opened and the blood allowed to spurt on a
revolving drum of white paper a curve is obtained which shows the
dicrotic elevation (the hemautographic curve of Landois). The
resistance of the periphery is totally lacking in this case and the
dicrotic elevation could not appear if it were due to a wave reflected
at the periphery.
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