It is also obvious that the dicrotic elevation never can arrive before
the primary wave, because the arterial wall cannot perform elastic
vibrations before it is expanded by the impulse of the arriving blood
wave. Neither is it surprising that the "dicrotic wave" seems to travel
in the same direction and with a velocity equal or almost equal to the
velocity of the pulse wave. Such a difference can be produced only by a
difference in the time of the vibrations of the arteries at different
points of the body. The time of one vibration is necessarily very
short, and the length of this interval depends on the circumstances
which determine the elasticity of the arterial wall and the friction.
These conditions may be subjected to local variations. If, therefore,
the time-interval between the primary and the secondary elevation
is measured at two different points (_e. g._, at the carotid and at
the radialis) a difference of time may be found. Starting from the
supposition that the dicrotic elevation is due to a wave travelling in
the blood, one could attribute this difference of time to a velocity of
the "dicrotic wave" which is slightly different from the velocity of
the primary wave. The fact that the dicrotic elevation appears later in
places farther from the heart was interpreted as a proof that the wave
travelled out from the heart. No theory which assumes that the dicrotic
elevation is due to a wave travelling in the blood can give a reason
why two waves of the same form and origin should travel through the
same liquid at different velocities.
Public-domain text, read in full here on John Shaqi.
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