The varying pressure from the heart which produces the pulse wave may
be described in this way: The pressure suddenly rises to a maximum
and maintains it for a certain time; when the semilunar valves close,
the pressure drops as suddenly as it rose, and remains at zero until
the valves open again. Such a function can be represented by a curve
like Fig. 1, and this is the reason why the complicated action of the
heart can be superseded by the compression of a bag without changing
the mechanical conditions of the problem. Of course it can not be
expected that a schematic curve will show all the details of the real
tracing. It is suggested, however, by Frank[67] that many of the small
irregularities of the curve of intraventricular pressure are due to
vibrations caused by the inertia of the apparatus and that the true
form of the curve of intraventricular pressure is very simple. This
remark is supported by Huerthle,[68] who tested the apparatus of Marey,
Knoll and Grunmach. Marey's tambour was found to be the most exact,
but even this instrument produces deformities in the tracings, though
the general outlines are exact. This would indicate that the schematic
representation of Fig. 1 is a very close imitation of the real form of
the curve of intraventricular pressure, although empirical tracings do
not show right angles and straight lines. It seems, however, that the
undulations of the plateau are genuine, since they are found in the
most reliable tracings, and it may be possible to explain them merely
on the basis of the physical conditions of the experiment.
Public-domain text, read in full here on John Shaqi.
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