[Footnote 38: It has been pointed out that this terminology, which
is due to a large extent to Landois, presupposes a certain theory of
the origin of the secondary elevations. (Edgren: Cardiographische
und sphygmographische Untersuchungen, Skandinavisches Archiv. f.
Physiologie, vol. 1, p. 92, 1889.) It is not easy to change a
terminology, and the Greek terms, some of which were used by and
before Galen, are so indifferently connotative that they can be kept
without inconvenience. If one were to be rigorous, one would change
the name of the sphygmograph into palmograph, because this instrument
does not serve exclusively for the registration of the abnormal
pulse. It does seem, however, advisable to drop the terms recoil wave
(Rückstosselevation, Landois), and "onde de rebondissement" (Marey),
because they are taken from modern languages and directly suggest a
certain theory with which they are intimately connected.]
[Footnote 39: Recherches sur l'état de la circulation d'après les
caractères du pouls, Journal de Physiologie de l'Homme, vol. 3, p.
249, 1860; and La circulation du sang, p. 264, 1863. "Le dicrotisme du
pouls est un phénomène physiologique, on l'observe presque chez tous
les sujets; seulement il n'est sensible au doigt que dans les cas où
il est extrêmement prononcé." References for previous observations of
the slow descent of the pulse curve are given by Landois, Die Lehre vom
Arterienpuls, p. 36, 1872.]
[Footnote 40: Burdon Sanderson: Handbook of the Sphygmograph, 1867.]
[Footnote 41: Lorain: Études de médecine clinique; Le Pouls, 1870.]
[Footnote 42: Ozanam: La circulation et le pouls, 1886.]
[Footnote 43: Pfungen: Pulscurve der Arterien in Gad's Lexicon der
medicinischen Propaedeutik, vol. 3, pp. 544-642, 1895.]
[Footnote 44: Riegel: Ueber die Bedeutung der Pulsuntersuchung in
Volkmann's Sammlung klinischer Vortraege, Nos. 144, 145, 1878.]
[Footnote 45: Roy and Adami: Heartbeat and Pulsewave, The Practitioner,
vol. 1, pp. 81-94, 161-177, 241-253, 347-361, 412-425, 1890.]
[Footnote 46: Cf. Howell: American Text-book of Physiology, p. 436,
1897. Marey's first explanation of the dicrotic belongs to this type
(Comptes Rendus, vol. 47, p. 826, 22 Nov., 1858.) He supposed that
the dicrotic elevation was due to a wave reflected from the Iliacae
communes. He was led to this theory by the erroneous observation of
Beau, that abnormal dicrotism never occurs in the lower extremities.
Marey's own observations refuted this theory, since they show that the
dicrotic elevation is found also in the sphygmograms of the arteries of
the leg. (Marey, La circulation du sang, p. 274, 1863.)]
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