. Diseases of the heart and thoracic aorta. powerful, but no murmur was heard, P. 63.—[GuysHospital Reports, 1875, p. 312.) 596 Diseases of the Heart. The character of the pulse also varies in accordance withthe cause of the hypertrophy. When the hypertrophy is dueto extra-cardiac conditions, such as cirrhotic Brights disease,the pulse is firm, strong, and sustained ; sometimes full andlarge, but more frequently of normal volume or the hypertrophy depends upon intra-cardiac condi-tions, the character of the pulse is variously modified inaccordance with the special nature of the
. Diseases of the heart and thoracic aorta. powerful, but no murmur was heard, P. 63.—[GuysHospital Reports, 1875, p. 312.) 596 Diseases of the Heart. The character of the pulse also varies in accordance withthe cause of the hypertrophy. When the hypertrophy is dueto extra-cardiac conditions, such as cirrhotic Brights disease,the pulse is firm, strong, and sustained ; sometimes full andlarge, but more frequently of normal volume or the hypertrophy depends upon intra-cardiac condi-tions, the character of the pulse is variously modified inaccordance with the special nature of the valvular ^The hearts action, and therefore the pulse, is, as a rule,regular; and in this respect there is a striking differencebetween cases of typical hypertrophy and cases of typicaldilatation ; in the latter condition marked irregularity isfrequently present. The character of the sphygmographic tracing dependsupon the condition of the valvular apparatus of the heart andto a considerable extent upon the state of the peripheral. Piessure 5 ozs. Fig. 249.—Sphygmographic tracing from a case of Chronic Brights disease, ivith hypertrophy of the left ventricle. The pulse is one of high tension : the tidal wave is strongly marked.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectheart, bookyear1884
