. Diseases of the heart and thoracic aorta. Fig. 306. Fig. 307. Fig. 247.—Cardtograplik tracing in hypertrophy oj the left ventricle. {After Galahin.) Emily L., set. 8. Loud systolic murmur at the apex, preceded by a very faintrumbling sound. A presytolic murmur has been heard previously. Heart muchhypertrophied, P. 96. {Guy s Hospital Reports, 1S75, p. 313.) Fig. 248.—Cardiog7-aphic tracing in hypertrophy of the left ventricle.—{After Galahin.) Thomas G., eet. 56. Chronic Brights disease with atheromatous cardiac impulse was very powerful, but no murmur was heard, P. 63.—{GtcfsHo


. Diseases of the heart and thoracic aorta. Fig. 306. Fig. 307. Fig. 247.—Cardtograplik tracing in hypertrophy oj the left ventricle. {After Galahin.) Emily L., set. 8. Loud systolic murmur at the apex, preceded by a very faintrumbling sound. A presytolic murmur has been heard previously. Heart muchhypertrophied, P. 96. {Guy s Hospital Reports, 1S75, p. 313.) Fig. 248.—Cardiog7-aphic tracing in hypertrophy of the left ventricle.—{After Galahin.) Thomas G., eet. 56. Chronic Brights disease with atheromatous cardiac impulse was very powerful, but no murmur was heard, P. 63.—{GtcfsHospital Reports, 1875, p. 312.). Fig. 308. — Cardiogram in a case of exophthalmic goitre.—{.After Galahin.) Rebecca S., £et. 20. Mitral regurgitation combined with exophthalmicgoitre. Heart dilated and hypertrophied. Pulse wo.—{Gii^^^s Hospital Reports,1875, p. 314). In addition, a series of irregular (serrated) curves is seen inthe systolic portion of the tracing, in some cases in whichrough systolic murmurs can be heard, or systolic thrills felt,over the praecordial region. 768 Appendix. The diastolic poriion of the tracing. Under normal circumstances the diastole of the ventriclecommences with, or more accurately just before, the closureof the aortic valves, which event is, as we have seen, probablyrepresented in some tracings by the notch g. At the com-mencement of the ventricular diastole, the elastic recoil orexpansion of the ventricle occurs, the mitral valve is burst open,and blood flows from the left auricle into the left ventricle ;the auricular contraction or systole then occurs, and is almostimmedi


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectheart, bookyear1884