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Updated: June 9, 2025


Therefore it is easy to understand that a high diastolic pressure is of serious import to the heart; a diastolic pressure over 100 is significant of trouble, and over 110 is a menace. With normal heart and arteries, exertion and exercise should increase the systolic pressure, and generally somewhat increase the diastolic pressure. The pressure pulse should therefore be greater.

By taking the systolic and diastolic pressures, the difference between the two being the pressure pulse, we learn to interpret the pressure pulse reading. While the average pressure pulse has frequently been stated as 30 mm., it is probable that 35 at least, and often 40 mm. represents more nearly the normal pressure pulse, and from 25 mm. on the one hand to 50 on the other may not be abnormal.

The distinctive diagnostic physical sign of this lesion is the diastolic and perhaps presystolic murmur heard over the left ventricle, accentuated at the apex and transmitted some distance to the left of the heart. There is also an accentuated pulmonary closure. To palpation this lesion often gives a characteristic presystolic thrill at and around the apex.

He has examined 742 normal persons, and found that the pressure pulse was anywhere from 20 to 80 percent of the diastolic pressure in 80 per cent of his cases, while the average of his figures gave a ratio of 50 percent; but he does not believe that it holds true that in a normal person the pressure pulse equals 50 percent of the diastolic pressure.

This absence of reserve is easily accounted for by the fact that after one reaches the high altitude there is an increase in red corpuscles and hemoblogin in the peripheral blood. This rise in diastolic pressure is probably caused by dyspnea. Arch. f. klin.

If there is no cardiac dropsy, but other symptoms of heart tire are manifest and the blood pressure is high, the nitrites are valuable. The amount should be sufficient to lower the blood pressure. Sometimes the diastolic pressure is high and the systolic low and the pressure pulse small because of heart insufficiency; such a condition is often improved by digitalis.

Sex in children makes no difference in the blood pressure, it being determined by the height and weight. Jour. Dis. The systolic pressure varied from 91 mm. in the fourth year to 105.5 in the fourteenth year, while the diastolic pressure remained almost at a uniform level. The pressure pulse, therefore, increased progressively with the increase of the systolic pressure.

Eighty-five of these young men, however, had a systolic pressure of over 140. It is not unusual to find that a young man who is very athletic has an abnormally high systolic pressure. Int. Jour. Med. If there is a high systolic pressure and a correspondingly high diastolic pressure, the balance between the vessels and the heart is compensated as long as the heart muscle is sufficient.

If the heart muscle is intact, he finds such absorption in high pressure cases will show diastolic as well as systolic increase: The vessels pulsate and throb; the skin is pale; the head aches; the tongue is coated; the breath is foul; vertigo is often distressing; and not infrequently the hands and feet feel distended and swollen.

We find here, just as in the case of light, that our will is engaged within the eye in a definite way; a systolic effect proceeds from dark, a diastolic effect from light. We have a distinct perception of both, but not of anything 'visible' in the ordinary sense. With regard to our visual experience of white and black, it is quite different.

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