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Updated: June 9, 2025
When more or less active treatment does not soon lower the hypertension, and especially a high diastolic pressure, the prognosis is bad. In a patient who is in more or less immediate danger from his hypertension, the food and liquid taken, the care of the bowels, and the measures used to cause secretions from the skin must all be governed by the condition of his other organs.
And Whinnie, who is a bit of a cobbler as well as being a bit of renegade to the ranks of the misogynists, has put new heels and soles on the number sevens which Struthers wears at the extremities of her heron-like limbs. Thus romance, beginning at the metatarsus, slowly but surely ascends to the diastolic region! Wednesday the Eighth
In cardiac failure, as the systolic pressure falls the diastolic is likely to be increased, and the pressure pulse thus diminishing, allows insufficient blood to go to the medullary centers, and death soon occurs. Therefore, in acute illnesses a sustained pressure pulse gives a better prognosis than a diminishing pressure pulse.
His method of estimation is as follows: For instance, with a systolic pressure of 120 mm. and a diastolic pressure of 80 mm., each pulse beat will represent an energy equal to lifting 120 mm. plus 80 mm., which equals 200 mm. of mercury, and with seventy-two pulse beats the force would be 72 X 200, which equals 14,400 mm. of mercury.
Before taking up the subject of treatment of high blood pressure, it may be suggested that a high diastolic pressure with a falling systolic pressure may require vasodilators on the one hand or cardiac tonics on the other, and sometimes the decision can be made only by proper tests. In other words, if the diastolic pressure is lowered the heart will be relieved.
Therefore in a patient with eclamptic symptoms and a low blood pressure, the prognosis is more unfavorable than when the blood pressure is high. He believes that if high blood pressure occurs early in the months of pregnancy, there is preexisting, although perhaps latent, nephritis. In these conditions the diastolic pressure is also likely to be high.
He also takes the systolic and diastolic pressures at the same time. He then causes the person to bend rapidly at the knees twenty times. The pulse rate and the blood pressure are then taken each minute for from three to five minutes.
He urges a greater consideration of the pressure pulse in determining the load of the heart and the great danger from a sustained diastolic pressure of over 105 as sooner or later bound to cause myocardial symptoms. This load of the heart is also shown by an increased pulse rate and increased respiratory efforts.
I have succeeded in diagnosing a slight diastolic murmur; very slight." He deposited the instrument, and said, not without a certain shade of satisfaction that his research had not been fruitless, "The heart is the peccant organ." "Oh, sir! is it serious?" said poor Mrs. Dodd. "By no means. Ting! He struck a bell. That "ting" said, "Go, live, Guinea; and let another come." "Heart-disease now!
He took the blood pressure readings in fifty-four young adults, seventeen of whom were women, and found that the average systolic reading in the men was 129 mm., and in the women 121, while the average diastolic in the men was 84, and in the women 82. Therefore he agrees with Schrumpf that the effect of altitude on normal blood pressure has been overestimated.
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