CHAP. iv.J THE VASCULAR MECHANISM. 



193 



r/' 



\' 



When this instrument is applied to the right auricle and 

 ventricle some such record is obtained as that shewn in Fig. 38, 

 where the upper curve is a tracing taken from the right auricle, 

 and the lower curve from the right ventricle of the horse, 

 both curves being taken simultaneously on the same recording 

 surface. In these curves the rise of the lever indicates pressure 

 exerted upon the corresponding ampulla, and the upper curve, 

 from the right auricle, shews the sudden, brief pressure b exerted 

 by the sudden and brief auricular systole. The lower curve, from 

 the right ventricle, shews that the pressure exerted by the ventric- 

 ular systole begins almost immediately after the auricular systole, 

 increases very rapidly indeed, so that the lever rises in almost a 

 straight line up to c', is continued for 

 some considerable time, and then falls 

 very rapidly to reach the base line. 

 The figure, it must be understood, does 

 not, by itself, give any information as 

 to the relative amounts of pressure 

 exerted by the auricle and ventricle 

 respectively ; indeed, the movements of 

 the auricular lever are much too great 

 compared with those of the ventricular 

 lever. The figure is chiefly useful for 

 giving a graphic general view of the 

 series of events within the cardiac cavi- 

 ties during a cardiac cycle, the short 

 auricular pressure, the long-continued 

 ventricular pressure, lasting -nearly half ' 

 the whole period, and the subsequent 

 pause when both parts are at rest or in 

 diastole. 



Among the more trustworthy methods of recording the 

 changes of endocardiac pressure, we may first mention that of 

 Roy and Rolleston. 



By means of a short cannnla introduced through a large vessel, or 

 directly, as a trocar, through the walls of the ventricle (or auricle), the 

 blood in the cavity is brought to bear on an easily moving pist-uu 

 The movements of the piston nro recorded by a lever, and the evils 

 ot inertia are met by making the piston and lever work against the 

 torsion of a steel ribbon, the length of which, and consequently the 

 resistance offered by which, and hence the excursions of the piston, 

 can be varied at pleasure. 



VENTRICLE, OF THK HOKSK. 

 (AFTBHCHAUVKAU AND MAKKY.) 



We give as examples of curves obtained by this method 

 two curves from the left ventricle, one (Fig. 39 A) of a 

 rapidly beating, and the other (Fig. 39 B) of a slowly beating 

 heart. 



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