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OSCILLOMETRIC READINGS IN CASES OF ARTERIOSCLEROTIC DISEASE OF THE LOWER EXTREMITY: SIGNIFICANCE AND INTERPRETATION

OSCILLOMETRIC READINGS IN CASES OF ARTERIOSCLEROTIC DISEASE OF THE LOWER EXTREMITY: SIGNIFICANCE... Abstract Although oscillometry had previously found widespread use in Europe, it was not until 1927, when Samuels1 popularized the method, that it began to be extensively used in the United States. Since then, numerous local articles have appeared2 discussing the value of oscillometric readings in the study of peripheral arterial disease. Before my observations concerning the significance and interpretation of oscillometric readings in cases of peripheral arteriosclerosis are presented, some of the well known physical principles on which arterial pulsation is based must be reviewed. When the left ventricle ejects a quantity of blood into the partially filled aorta, pressure changes are suddenly set up in the aorta and in the vessels at the root of the neck. These pressure changes are propagated along the branches of the arterial tree in the form of a wave moving at a speed computed to be eighteen to thirty times as fast References 1. Samuels, S. S.: The Value of Oscillometry in the Study of Circulatory Disturbances of the Extremities , J. A. M. A. 88:1780 ( (June 4) ) 1927.Crossref 2. Silbert, S., and Samuels, S. S.: Thromboangiitis Obliterans: Prognostic Value of the Oscillometer , J. A. M. A. 90:831 ( (March 17) ) 1928.Crossref 3. Kramer, D. W.: Evaluation of Various Methods of Investigating the Circulation in the Lower Extremities , Am. J. M. Sc. 185:402 ( (March) ) 1933.Crossref 4. de Takáts, G.; Hick, F. K., and Coulter, J. S.: Intermittent Venous Hyperemia in the Treatment of Peripheral Vascular Disease , J. A. M. A. 108:1951 ( (June 5) ) 1937.Crossref 5. de Takáts, G.: Effect of Sympathectomy on Peripheral Vascular Disease , Surgery 2:46 ( (July) ) 1937. 6. Theis, F. V.: Popliteal Aneurysms as a Cause of Peripheral Circulatory Disease, with a Special Study of Oscillomographs as an Aid to Diagnosis , Surgery 2:327 ( (Sept.) ) 1937. 7. Ochsner, A., and DeBakey, M.: The Rational Consideration of Peripheral Vascular Disease , J. A. M. A. 112:230 ( (Jan. 21) ) 1939.Crossref 8. Gardner, C. E.: An Instrument to Measure Arterial Pulsation in the Digits , Surg., Gynec. & Obst. 69:103 ( (July) ) 1939. 9. Wiggers, C. J.: Circulation in Health and Disease , ed. 2, Philadelphia, Lea & Febiger, 1937. 10. Atlas, L. N.: Oscillometry in the Diagnosis of Arteriosclerosis of the Lower Extremities: A New Method of Application , Arch. Int. Med. 63:1158 ( (June) ) 1939. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

OSCILLOMETRIC READINGS IN CASES OF ARTERIOSCLEROTIC DISEASE OF THE LOWER EXTREMITY: SIGNIFICANCE AND INTERPRETATION

ATLAS, LAWRENCE N.
Archives of Internal Medicine , Volume 66 (1) – Jul 1, 1940
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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1940.00190130165010
Publisher site
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Abstract

Abstract Although oscillometry had previously found widespread use in Europe, it was not until 1927, when Samuels1 popularized the method, that it began to be extensively used in the United States. Since then, numerous local articles have appeared2 discussing the value of oscillometric readings in the study of peripheral arterial disease. Before my observations concerning the significance and interpretation of oscillometric readings in cases of peripheral arteriosclerosis are presented, some of the well known physical principles on which arterial pulsation is based must be reviewed. When the left ventricle ejects a quantity of blood into the partially filled aorta, pressure changes are suddenly set up in the aorta and in the vessels at the root of the neck. These pressure changes are propagated along the branches of the arterial tree in the form of a wave moving at a speed computed to be eighteen to thirty times as fast References 1. Samuels, S. S.: The Value of Oscillometry in the Study of Circulatory Disturbances of the Extremities , J. A. M. A. 88:1780 ( (June 4) ) 1927.Crossref 2. Silbert, S., and Samuels, S. S.: Thromboangiitis Obliterans: Prognostic Value of the Oscillometer , J. A. M. A. 90:831 ( (March 17) ) 1928.Crossref 3. Kramer, D. W.: Evaluation of Various Methods of Investigating the Circulation in the Lower Extremities , Am. J. M. Sc. 185:402 ( (March) ) 1933.Crossref 4. de Takáts, G.; Hick, F. K., and Coulter, J. S.: Intermittent Venous Hyperemia in the Treatment of Peripheral Vascular Disease , J. A. M. A. 108:1951 ( (June 5) ) 1937.Crossref 5. de Takáts, G.: Effect of Sympathectomy on Peripheral Vascular Disease , Surgery 2:46 ( (July) ) 1937. 6. Theis, F. V.: Popliteal Aneurysms as a Cause of Peripheral Circulatory Disease, with a Special Study of Oscillomographs as an Aid to Diagnosis , Surgery 2:327 ( (Sept.) ) 1937. 7. Ochsner, A., and DeBakey, M.: The Rational Consideration of Peripheral Vascular Disease , J. A. M. A. 112:230 ( (Jan. 21) ) 1939.Crossref 8. Gardner, C. E.: An Instrument to Measure Arterial Pulsation in the Digits , Surg., Gynec. & Obst. 69:103 ( (July) ) 1939. 9. Wiggers, C. J.: Circulation in Health and Disease , ed. 2, Philadelphia, Lea & Febiger, 1937. 10. Atlas, L. N.: Oscillometry in the Diagnosis of Arteriosclerosis of the Lower Extremities: A New Method of Application , Arch. Int. Med. 63:1158 ( (June) ) 1939.

Journal

Archives of Internal Medicine – American Medical Association

Published: Jul 1, 1940

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