Kirkes Handbook of Physiology volume 1

Cover Kirkes Handbook of Physiology volume 1
Kirkes Handbook of Physiology volume 1
William Senhouse Kirkes
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It is seldom, however, that the decline is an uninterrupted fall: it is usually marked about half-way by a distinct notch (c), called the dicrotic notch, which is caused by a second more or less marked ascent of the lever at that point by a second wave called the dicrotic wave (D); not unfrequently (in which case the tracing is said to have a double apex) there is also soon after the commencement of the descent a slight ascent previous to the dicrotic notch, this is called the predicrotic wave ...(c), and in addition there may be one or more slight ascents after the dicrotic, called post dicrotic (E).
FIG. 126. Diagram of pulse tracing. A, upstroke; B, down-stroke; c, predi- crotic wave ; D, dicrotic ; E, post dicrotic wave.
CIRCULATION OF THE BLOOD. 145 The explanation of these tracings presents some difficulties, not, how- ever, as regards the two primary factors, viz. , the upstroke and down- stroke, because they are universally taken to mean the sudden injection of blood into the already full arteries, and that this passes through the artery as a wave and expands them, the gradual fall of the lever signify- ing the recovery of the arteries by their recoil.


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