Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
The =jerking and receding= pulse is felt in cases of imperfection of the
semilunar valves at the commencement of the great aorta, and which
allows blood propelled into the arteries by the contraction of the
ventricle to flow back into the ventricle during its state of
relaxation. This pulse is met with in other conditions as in aneurism of
the aorta, but if from heart disease it is distinguished by the presence
of a _blowing murmur_ with the second sound of the heart.
The =intermittent= pulse indicates functional derangement of the heart
but it does not as is generally believed betoken structural disease. It
is frequently observed in healthy asses and mules, and in dogs however
slightly excited whether by fear or joy, or by the mere fact of their
being handled, it is so common as to be almost the rule rather than the
exception. It may be seen in a healthy horse as the result of
excitement. During the early stages of convalescence from inflammatory
affections of the lungs in the horse the pulse is often intermittent.
The pulsations are at the same time unequal. There is a regular cycle of
beats gradually decreasing in force and extending over a complete
respiratory act. The cycle commences with the strongest beat during or
immediately after the act of expiration, and the succeeding four or five
beats are less and less forcible until the chest is fully expanded when
there is a quiescent interval corresponding to the period of one beat.
In many such cases there is no other indication of heart disease and the
phenomenon appears due to the interference with the circulation by the
hepatized lung, to the impaired nervous energy of the heart and to its
compression between the distended lungs. A pulse simply _intermittent_
and not associated with any further sign of heart disease does not then
possess the significance generally attributed to it, but a careful
examination of the heart should invariably be made when this functional
disorder is observed. It exists or may be brought about by slight
excitement in the great majority of heart diseases.
In case of intermittent pulse it is useful to ascertain whether there is
also an intermission of the heart’s beat, since in softening of the
heart, that organ may beat without being able to transmit the impulse
along the artery.
A pulse at once =unequal and irregular= is a much more serious
indication than a merely intermittent pulse. It is observed especially
in fatty degeneration of the muscular substance, and with imperfection
of the valves on the left side of the organ, though it may be present in
other cardiac diseases independent of the existence of those lesions.
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