Abstract Knowledge of cardiac and pericardial sensibility, as we have found it presented in published reports, is meager and incomplete. There is little agreement among the reporters as to the facts. This is largely due, we believe, to the scarcity of opportunity for careful observation on the open pericardial cavity of patients who are neither narcotized, shocked nor very toxic. We recently availed ourselves of an unusual opportunity to investigate extensively the sensory reactions of the exposed human heart and pericardium to various forms of stimulation. REPORT OF CASE Our patient was a telephone linesman, aged 30, who was admitted to the University Hospital on Feb. 2, 1929, with typical history, symptoms and signs of a basal lobar pneumonia of the left lung of three days' duration. During the next twelve days the signs and symptoms of the disease subsided, but on the following day there were a sharp rise in References 1. Throughout this article the numerically designated points refer to the position of correspondingly numbered points in figures 2 and 3. 2. Barker, Paul S.; Macleod, A. Garrard; Alexander, John, and Wilson, Frank N.: The Excitatory Process Observed in the Exposed Human Heart: I. The Spread of Excitation as Determined by Direct Leads; II. The Electrical Responses of Induced Premature Ventricular Contractions , to be published in Tr. A. Am. Phys. , 1929, and elsewhere. 3. Harvey, William: The Works of William Harvey, M.D. , translated from the Latin by Robert Willis, M.D., London, printed for the Sydenham Society, 1847, pp. 382-384. 4. Luciani, Luigi: Human Physiology , translated from the Italian by Frances A. Welby, edited by Dr. M. Camis, London, MacMillan & Company, 1911, vol. 1, p. 335. 5. Souligoux, Charles: Affections chirurgicales de la poitrine , Paris, J. B. Baillière et fils, 1911, p. 106. 6. Lockwood, Ambrose L.: Surgery of the Pericardium and Heart , Arch. Surg. 18:417 ( (Jan.) ) 1929.Crossref 7. Auchincloss, Hugh, in discussion on Peterson, Edward W.: Suppurative Pericarditis , Arch. Surg. 16:377 ( (Jan.) ) 1928. 8. Cutler, Elliott C., and Beck, Claude: Surgery of the Heart and Pericardium , in Nelson's Loose-Leaf Living Surgery , New York, Thomas Nelson & Sons, 1927, vol. 4, chapt. 4. 9. Cutler, Elliott C.: Verbal communication, March 27, 1929. 10. Capps, Joseph A.: Pericardial Pain: An Experimental and Clinical Study , Arch. Int. Med. 40:715 ( (Nov.) ) 1927.Crossref 11. Lord, Frederick T., in discussion on Peterson, Edward W.: Suppurative Pericarditis , Arch. Surg. 16:375 ( (Jan.) ) 1928. 12. Simenauer, Erich: Die Sensibilität von Pleuren, Pericard und Peritonealüberzug des Diaphragma und besonderer Berüchsichtigung des Nervus phrenicus , Ztschr. f. Tuberk. 48:273, 1927.
Archives of Surgery – American Medical Association
Published: Dec 1, 1929