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
In _hypertrophy of the left ventricle_, the pulse is full and strong and
the impulse appears prolonged, because of the greater length of time
taken up by the ventricle in the act of contraction. When _dilatation_
coexists with _hypertrophy_ the impulse is still full and strong, more
blood being transmitted through the vessel; but when _dilatation_ is
combined with _attenuation_ of the ventricular walls the impulse is soft
and weak by reason of the feebleness of the contractions.
The pulse at the radial artery should be about synchronous with the beat
of the heart. If retarded it may be held to indicate the existence on
the anterior aorta or its primary divisions of an aneurism with elastic
walls or more probably an imperfection of the aortic valves, which
allows a regurgitation of the blood into the heart.
=Venous pulse.= A venous pulse seen in the lower end of the jugular
veins is common in the domestic animals. In the ox it is quite
compatible with health and is only to be judged by its amplitude and
force. In other animals it often coexists with congestion of the lungs
which impedes the circulation through the right side of the heart and
leads to engorgement of the venous system. In the absence of this
condition it frequently indicates an imperfection of the
auriculo-ventricular valves in the right heart and a reflux of blood
from the contracting ventricle which checks the descending current in
the veins.
=Percussion.= In the =horse= a dull, dead sound is emitted when
percussion is made over the left side for about four inches above the
breast bone and in the space corresponding to the lower ends and the
cartilages of prolongation of the fourth, fifth and sixth ribs. In the
ox this dulness is less marked on the level of the sixth rib. The same
results can be obtained on the right side by imparting heavier blows to
the chest walls so as to derive the sound from the deeper parts.
The area of dulness is _increased_ in cases of _hypertrophy_ or in
_dilatation_ of the heart when the enlarged organ presses aside the lung
tissue and exposes a greater amount of its substance to the chest walls.
The same result takes place in hydropericardium.
The area of dullness is _diminished_ in cases of ruptured air cells (as
in “heaves”) when the inflated and expanded lung tissue envelopes the
heart more completely and gives out its own clear resonance where the
dull sound of the heart is usually obtained.
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