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Updated: May 8, 2025
On the other hand, in neurasthenics the blood pressure is generally lowered. As he points out, there is often a very great increase in the systolic blood pressure at the menopause, while the diastolic pressure may not be high. This makes a very large pressure pulse. This suggests the possibility of disturbances of the glands of internal secretion.
It is now generally agreed by all scientific clinicians that it is as essential almost more essential to determine the diastolic pressure as the systolic pressure; therefore the auscultatory method is the simplest, as well as one of the most accurate in determining these pressures.
On allowing the blood again to flow through the artery, the pulsation returns at once, but several beats are required before the sac regains its former size. In most cases a distinct thrill is felt on placing the hand over the swelling, and a blowing, systolic murmur may be heard with the stethoscope.
At that timid phrasing of hers Henry felt that his heart was actually strangling, as if some one were holding it back on its systolic swing, like a caught pendulum. "Why, Annie," he said, "I never thought " But inevitably and of course it had happened. The young man's name was Willis Fred E. Willis already credit man in a large wholesale grocery firm and two feet well on the road to advancement.
On the other hand, when the diastolic pressure rises while the systolic falls, this is a sign of failing heart. Int. They found that "low systolic pressures are not invariably of evil omen."
A patient with coronary disease should certainly not go to any great altitude, while patients with compensated valvular lesions, he found, were not injured by ordinary heights. He found that altitude seemed to decrease high systolic and diastolic pressures, while it even elevated those which were below normal, and caused these patients to feel better.
In other words, a normal young adult with a systolic pressure of 120 should have a diastolic pressure of 80, and therefore a pulse pressure of 40. If these relationships become much abnormal, disease is developing and imperfect circulation is in evidence, with the danger of broken compensation occurring at some time in the future.
When the heart begins to fail in this condition, the systolic pressure drops and the pressure pulse shortens, and of course any improvement in this condition will be shown by an increase in the systolic pressure. The same is true with aortic regurgitation and a high systolic pressure.
He believes the velocity of the blood in the blood stream may be roughly estimated as being equal to the pressure pulse multiplied by the pulse rate. In 52 percent of these 211 persons the systolic pressure was under 140, while in the remaining 48 percent it ranged from 145 to 200 mm. Jour. Dis.
When a normal person reclines, with the muscular system relaxed, there is an increase in the systolic pressure and a decrease in the diastolic pressure, with an increase in the pressure pulse from the figures found when the person is standing.
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