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BLOOD PRESSURES IN AORTIC COARCTATION: STUDY OF PULSE CONTOURS TAKEN BY THE DIRECT METHOD

BLOOD PRESSURES IN AORTIC COARCTATION: STUDY OF PULSE CONTOURS TAKEN BY THE DIRECT METHOD Abstract Reviews by Abbott1 and Blackford2 have shown that about 300 cases of coarctation of the aorta have been reported. In very few of these cases, however, was the diagnosis made during the life of the patient; and studies of the blood pressure were limited by the methods available for estimating it.3 This communication describes the results of direct optical registration of the blood pressures in various arteries in a case of aortic coarctation when the patient was at rest, during and after temporary occlusion of an artery, coughing and straining, and after administration of epinephrine and of amyl nitrite. MATERIAL AND METHODS The subject of these studies, F. H., was a Negro, aged 26, of good physical development but of a very low grade of mentality. On admission to the hospital in 1932, his chief complaint was attacks of pain over the heart and in the left References 1. Abbott, M. E.: Coarctation of the Aorta of the Adult Type: II. A Statistical Study and Historical Retrospect of Two Hundred Recorded Cases, with Autopsy, of Stenosis or Obliteration of the Descending Arch in Subjects Above the Age of Two Years , Am. Heart J. 3:392, 1928. 2. Blackford, L. M.: Coarctation of the Aorta , Arch. Int. Med. 41:702 ( (May) ) 1928.Crossref 3. Blumgart, H. L.; Lawrence, J. S., and Ernstene, A. C.: Dynamics of the Circulation in Coarctation (Stenosis of Isthmus) of the Aorta of the Adult Type: Relation to Essential Hypertension , Arch. Int. Med. 47:806 ( (May) ) 1931.Crossref 4. Hamilton, W. F.; Brewer, G., and Brotman, I.: Pressure Pulse Contours in the Intact Animal: I. Analytical Description of a New High Frequency Hypodermic Manometer with Illustrative Curves of Simultaneous Arterial and Intracardiac Pressures , Am. J. Physiol. 107:427, 1934. 5. Hamilton, W. F.; Woodbury, R. A., and Harper, H. T., Jr.: Physiologic Relationships Between Intrathoracic, Intraspinal and Arterial Pressures , J. A. M. A. 107:853 ( (Sept. 12) ) 1936.Crossref 6. Woodbury, R. A.; Robinow, M., and Hamilton, W. F.: Blood Pressure Studies on Infants , Am. J. Physiol. 122:472, 1938. 7. Robinow, M.; Hamilton, W. F.; Woodbury, R. A., and Volpitto, P. P.: Accuracy of Clinical Determinations of Blood Pressure in Children, with Values Under Normal and Abnormal Conditions , Am. J. Dis. Child. 58:102 ( (July) ) 1939.Crossref 8. Hamilton and others.4b 9. Hamilton, W. F., and Abbott, M. E.: Coractation of Aorta of Adult Type , Am. Heart J. 3:381, 1928.Crossref 10. Blumgart and others.3 11. Bazett, H. C., and Laplace, L. B.: Studies on the Indirect Measurement of Blood Pressure , Am. J. Physiol. 103:48, 1933. 12. Woodbury and others.5a 13. Hamilton, W. F.: Some Mechanisms Involved in the Regulation of the Circulation , Am. J. Physiol. 102:551, 1932. 14. Sollmann, T. A.: Manual of Pharmacology , ed. 5, Philadelphia, W. B. Saunders Company, 1936, p. 480. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

BLOOD PRESSURES IN AORTIC COARCTATION: STUDY OF PULSE CONTOURS TAKEN BY THE DIRECT METHOD

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Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1940.00190100093004
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Abstract

Abstract Reviews by Abbott1 and Blackford2 have shown that about 300 cases of coarctation of the aorta have been reported. In very few of these cases, however, was the diagnosis made during the life of the patient; and studies of the blood pressure were limited by the methods available for estimating it.3 This communication describes the results of direct optical registration of the blood pressures in various arteries in a case of aortic coarctation when the patient was at rest, during and after temporary occlusion of an artery, coughing and straining, and after administration of epinephrine and of amyl nitrite. MATERIAL AND METHODS The subject of these studies, F. H., was a Negro, aged 26, of good physical development but of a very low grade of mentality. On admission to the hospital in 1932, his chief complaint was attacks of pain over the heart and in the left References 1. Abbott, M. E.: Coarctation of the Aorta of the Adult Type: II. A Statistical Study and Historical Retrospect of Two Hundred Recorded Cases, with Autopsy, of Stenosis or Obliteration of the Descending Arch in Subjects Above the Age of Two Years , Am. Heart J. 3:392, 1928. 2. Blackford, L. M.: Coarctation of the Aorta , Arch. Int. Med. 41:702 ( (May) ) 1928.Crossref 3. Blumgart, H. L.; Lawrence, J. S., and Ernstene, A. C.: Dynamics of the Circulation in Coarctation (Stenosis of Isthmus) of the Aorta of the Adult Type: Relation to Essential Hypertension , Arch. Int. Med. 47:806 ( (May) ) 1931.Crossref 4. Hamilton, W. F.; Brewer, G., and Brotman, I.: Pressure Pulse Contours in the Intact Animal: I. Analytical Description of a New High Frequency Hypodermic Manometer with Illustrative Curves of Simultaneous Arterial and Intracardiac Pressures , Am. J. Physiol. 107:427, 1934. 5. Hamilton, W. F.; Woodbury, R. A., and Harper, H. T., Jr.: Physiologic Relationships Between Intrathoracic, Intraspinal and Arterial Pressures , J. A. M. A. 107:853 ( (Sept. 12) ) 1936.Crossref 6. Woodbury, R. A.; Robinow, M., and Hamilton, W. F.: Blood Pressure Studies on Infants , Am. J. Physiol. 122:472, 1938. 7. Robinow, M.; Hamilton, W. F.; Woodbury, R. A., and Volpitto, P. P.: Accuracy of Clinical Determinations of Blood Pressure in Children, with Values Under Normal and Abnormal Conditions , Am. J. Dis. Child. 58:102 ( (July) ) 1939.Crossref 8. Hamilton and others.4b 9. Hamilton, W. F., and Abbott, M. E.: Coractation of Aorta of Adult Type , Am. Heart J. 3:381, 1928.Crossref 10. Blumgart and others.3 11. Bazett, H. C., and Laplace, L. B.: Studies on the Indirect Measurement of Blood Pressure , Am. J. Physiol. 103:48, 1933. 12. Woodbury and others.5a 13. Hamilton, W. F.: Some Mechanisms Involved in the Regulation of the Circulation , Am. J. Physiol. 102:551, 1932. 14. Sollmann, T. A.: Manual of Pharmacology , ed. 5, Philadelphia, W. B. Saunders Company, 1936, p. 480.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Apr 1, 1940

References