The invention of these instruments is due to physiological
investigations of the pulse. The problem of studying the pulse
by graphic, or at least experimental methods, begins with the
investigations of Hales and Poiseuille. The first great success in
this line was the construction of the "Kymographion" of Ludwig, but
this instrument had the disadvantage that it could be applied only
by scission of an artery. This circumstance, of course, confined the
application of the instrument to the study of the pulse of animals.
After several attempts by Hérisson, Chelius, and others, Vierordt
succeeded in constructing his sphygmograph, by which curves of the
normal human pulse could be obtained. Some years afterwards Marey
constructed his much more sensitive instrument, which was made still
handier by the use of air transmission. Buisson was the first to use
air transmission for sphygmography, but Upham had used it before for
similar purposes. A considerable number of sphygmographs has been
constructed since, and though they may show some improvements in
detail, the technique of the sphygmograph has made no marked progress
since Marey, and his instrument has been found by experimental tests
remarkably exact.
The curves traced with the sphygmograph are extremely variable in shape
and size. In almost every normal curve, however, a steep ascent may be
seen; it is called the up-stroke or percussion stroke, and this part
of the sphygmographic curve has the name of the anacrotic phase. This
line of ascent ends abruptly and within the limits of the usual speed
of the recording drum it goes over into the descent by a sharp angle.
The descending part of the curve is called the catacrotic phase. The
descent is not so abrupt and is not a more or less straight line, but
is interrupted by secondary elevations. The first secondary elevation
is the largest and is called the dicrotic.[38]
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