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AN EXPERIMENTAL STUDY OF THE RESISTANCE TO COMPRESSION OF THE ARTERIAL WALL

AN EXPERIMENTAL STUDY OF THE RESISTANCE TO COMPRESSION OF THE ARTERIAL WALL Abstract The object of this study was to determine whether the resistance to compression of the arterial wall introduces an error of any importance in the clinical measurement of systolic blood-pressure by methods employing circular compression of the arm. PREVIOUS STUDIES AND PRESENT STATUS OF THE QUESTION Very few studies of this problem have been made, and none of these can stand criticism. Von Basch1 measured crudely the pressure necessary to close the empty radial artery. He found that this was 1 mm. for normal, and not much above 5 mm. for sclerotic vessels.Martin,2 in a few experiments on the normal carotids of man, horse, and dog, found that a pressure of 2 mm. was sufficient to collapse the arterial wall; in arteries from an advanced case of arteriosclerosis only 7 mm. were required.No subsequent direct experiments were made, until those in 1908, by Herringham and Womack, References 1. Von Basch, S.: Der Sphygmomanometer und seine Verwerthung in der Praxis , Berl. klin. Wchnschr. , 1887, xxiv, 181. 2. Martin, C. J.: The Determination of Arterial Blood-Pressure in Clinical Practice , Brit. Med. Jour. , 1905, i, 865.Crossref 3. Herringham, W. P., and Womack, F.: Proc. Roy. Soc. Med. , 1908, ii, 37. (Med. Sect.) 4. Hill, L.: The Measurement of Systolic Blood-Pressure in Man , Heart , 1909, i, 73. 5. Herringham, W. P.: Proc. Roy. Soc. Med. , 1909, ii, 238. (Med. Sect.) 6. Scholtyssek, August: Arch. f. Anat. u. Physiol. , 1909, Physiol. Abt. , p. 323. 7. Schmidt, Magnus: Arch. f. Anat. u. Physiol. , 1909, Physiol. Abt. , p. 331. 8. Janeway, T. C.: The Clinical Study of Blood-Pressure , D. Appleton & Co., New York and London, 1904, p. 60. 9. Williamson: Proc. Roy. Soc. Med. , 1909, ii, (Med. Sect.), 229. 10. Oliver, G.: Studies in Blood-Pressure , Ed. 2, H. K. Lewis, London, 1908, p. 111. 11. V. Recklinghausen, H.: Ueber Blutdruckmessung beim Menschen , Arch. f. exper. Path. u. Pharmakol. , 1901, xlvi, 78.Crossref 12. Hensen, H.: Beitrag zur Physiologie und Pathologie des Blutdrucks , Deutsch. Arch. f. klin. Med. , 1900, lxvii, 443. 13. Russell, W.: Arterial Hypertonus, Sclerosis and Blood-Pressure , J. B. Lippincott Co., Philadelphia, 1908, p. 87. 14. Müller and Blauel: Zur Kritik des Riva-Roccischen und Gärtnerschen Sphygmomanometers , Deutsch. Arch. f. klin. Med. , 1907, xci, 317. 15. Volhard: Ueber die Messung des diastolischen Blutdrucks beim Menschen , Verhandl. d. Cong. f. innere Med. , 1909, xxvi, 200. 16. Janeway, T. C.: The Influence of the Soft Tissues of the Arm on Clinical Blood-Pressure Determinations , The Archives Int. Med. , 1909, iii, 474.Crossref 17. Meyer, O. B.: Ueber einige Eigenschaften der Gefässmuskulatur mit besondere Berücksichtigung der Adrenalinwirkung , Ztschr. f. Biol. , 1906, xlviii, 352. 18. MacWilliam, J. A., and Mackie, A. H.: Observations on Arteries, Normal and Pathological , Brit. Med. Jour. , 1908, ii, 1477.Crossref 19. Russell, W.: Arterial Hypertonus, Sclerosis and Blood-Pressure , J. B. Lippincott Co., Philadelphia, 1908, p. 60. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

AN EXPERIMENTAL STUDY OF THE RESISTANCE TO COMPRESSION OF THE ARTERIAL WALL

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Publisher
American Medical Association
Copyright
Copyright © 1910 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1910.00050330121008
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Abstract

Abstract The object of this study was to determine whether the resistance to compression of the arterial wall introduces an error of any importance in the clinical measurement of systolic blood-pressure by methods employing circular compression of the arm. PREVIOUS STUDIES AND PRESENT STATUS OF THE QUESTION Very few studies of this problem have been made, and none of these can stand criticism. Von Basch1 measured crudely the pressure necessary to close the empty radial artery. He found that this was 1 mm. for normal, and not much above 5 mm. for sclerotic vessels.Martin,2 in a few experiments on the normal carotids of man, horse, and dog, found that a pressure of 2 mm. was sufficient to collapse the arterial wall; in arteries from an advanced case of arteriosclerosis only 7 mm. were required.No subsequent direct experiments were made, until those in 1908, by Herringham and Womack, References 1. Von Basch, S.: Der Sphygmomanometer und seine Verwerthung in der Praxis , Berl. klin. Wchnschr. , 1887, xxiv, 181. 2. Martin, C. J.: The Determination of Arterial Blood-Pressure in Clinical Practice , Brit. Med. Jour. , 1905, i, 865.Crossref 3. Herringham, W. P., and Womack, F.: Proc. Roy. Soc. Med. , 1908, ii, 37. (Med. Sect.) 4. Hill, L.: The Measurement of Systolic Blood-Pressure in Man , Heart , 1909, i, 73. 5. Herringham, W. P.: Proc. Roy. Soc. Med. , 1909, ii, 238. (Med. Sect.) 6. Scholtyssek, August: Arch. f. Anat. u. Physiol. , 1909, Physiol. Abt. , p. 323. 7. Schmidt, Magnus: Arch. f. Anat. u. Physiol. , 1909, Physiol. Abt. , p. 331. 8. Janeway, T. C.: The Clinical Study of Blood-Pressure , D. Appleton & Co., New York and London, 1904, p. 60. 9. Williamson: Proc. Roy. Soc. Med. , 1909, ii, (Med. Sect.), 229. 10. Oliver, G.: Studies in Blood-Pressure , Ed. 2, H. K. Lewis, London, 1908, p. 111. 11. V. Recklinghausen, H.: Ueber Blutdruckmessung beim Menschen , Arch. f. exper. Path. u. Pharmakol. , 1901, xlvi, 78.Crossref 12. Hensen, H.: Beitrag zur Physiologie und Pathologie des Blutdrucks , Deutsch. Arch. f. klin. Med. , 1900, lxvii, 443. 13. Russell, W.: Arterial Hypertonus, Sclerosis and Blood-Pressure , J. B. Lippincott Co., Philadelphia, 1908, p. 87. 14. Müller and Blauel: Zur Kritik des Riva-Roccischen und Gärtnerschen Sphygmomanometers , Deutsch. Arch. f. klin. Med. , 1907, xci, 317. 15. Volhard: Ueber die Messung des diastolischen Blutdrucks beim Menschen , Verhandl. d. Cong. f. innere Med. , 1909, xxvi, 200. 16. Janeway, T. C.: The Influence of the Soft Tissues of the Arm on Clinical Blood-Pressure Determinations , The Archives Int. Med. , 1909, iii, 474.Crossref 17. Meyer, O. B.: Ueber einige Eigenschaften der Gefässmuskulatur mit besondere Berücksichtigung der Adrenalinwirkung , Ztschr. f. Biol. , 1906, xlviii, 352. 18. MacWilliam, J. A., and Mackie, A. H.: Observations on Arteries, Normal and Pathological , Brit. Med. Jour. , 1908, ii, 1477.Crossref 19. Russell, W.: Arterial Hypertonus, Sclerosis and Blood-Pressure , J. B. Lippincott Co., Philadelphia, 1908, p. 60.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1910

References