Irritability : $b a physiological analysis of the general effect of stimuli in living substanceVerworn, Max
Science
Irritability : $b a physiological analysis of the general effect of stimuli in living substance
Verworn, Max
Irritability
The first fact to take into consideration is, that, as is shown in the
heart, the refractory period begins at the moment of the appearance
of the systolic excitation. The irritability of the heart is absent
and remains so until the excitation has reached its highest point,
that is, shortly before the beginning of the diastole. From this point
the restitution of irritability begins, which does not reach the
maximum until the end of the diastole. In other words: irritability
undergoes the greatest reduction by disintegration produced by the
stimulus and is restored by the metabolic self-regulation following the
decomposition.
This point of view enables us to interpret this state from a physical
standpoint. In this discussion on the relations between irritability
and the extension of excitation, I have taken the amount of energy
which is produced during the time unit and space unit in a living
system as the general standard for the degree of irritability, at the
same time duly regarding the individual components involved. This
amount of energy is determined in a given system by the quantity
of substance broken down by a stimulus of a given intensity. It
is, therefore, clear that during the time in which an increased
disintegration produced by a stimulus takes place, the irritability in
response to a second stimulus must be reduced, as during this period
the second stimulus has less of necessary decomposable substances
at its disposal, and at the same time there are more products of
disintegration in a given space. If a living organism is the subject
of consideration, to which the “all or none law” is applicable, as,
for instance, the heart at the moment of the beginning of excitation,
irritability is completely obliterated, as shown by the fact that the
second stimulus of any strength remains without response, for during
the excitation there is a complete breaking down of all the substances
capable of decomposition. If, on the contrary, a system is the subject
of observation, for which the “all or none law” is not valid, then
irritability is merely reduced but not wholly obliterated during an
excitation, and whether or not a response is obtained to the stimulus
depends upon its strength. To impress the relations between the degree
of irritability and the intensity of the stimulus, I have, therefore,
employed the term “_relative refractory period_” in contrast to the
“_absolute refractory period_,” in which irritability is obliterated
even for the strongest stimuli. It is self-evident that irritability
must again increase in the same degree as the restitution of the
living system by metabolic self-regulation takes place, for the
more molecules capable of disintegrating are restored and the more
products of disintegration removed, the more molecules necessary for
decomposition in the unit of space are attacked and broken down by the
stimulus. All these are self-evident facts which are in accordance
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