Disturbances of the Heart by Oliver T. (Oliver Thomas) Osborne
page 44 of 323 (13%)
page 44 of 323 (13%)
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the collapse of the veins may be shown approximately in millimeters
of mercury by multiplying by 2 each inch above the level of the heart in which the veins collapse. When a normal person reclines after standing there is a fall in venous pressure, and when he again stands erect there is an increase in venous pressure. Bailey [Footnote: Bailey: Am. Jour Med. Sc., May, 1911, p. 709.] states that in interpreting pulsation in the peripheral veins, it should not be forgotten that they may overlie pulsating arteries. Pulsation in veins may be due also to an aneurysmal dilatation, or to direct connection with an artery. As the etiology in many instances of varicose veins is uncertain, he thinks that they may be caused by incompetence of the right heart, more or less temporary perhaps, from muscular exertion. This incompetence being frequently repeated, peripheral veins may dilate. Moreover, the contraction of the right heart may cause a wave in the veins of the extremities, and he believes that incompetency of the tricuspid valve may be the cause of varicosities in the veins of the extremities. NORMAL BLOOD PRESSURE FOR ADULTS Woley [Footnote: Woley, II. P.: The Normal Variation of the Systolic Blood Pressure, THE JOURNAL A. M. A., July 9, 1910, p. 121.] after studying, the blood pressure in a thousand persons, found that the systolic average for males at all ages was 127.5 mm., while that for females at all ages was 120 mm. He found the average in persons from 15 to 30 years to be 122 systolic; from 30 to 40, 127 mm., and from the ages of 40 to 50, to be 130 mm. |
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