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September 1925


Author Affiliations


From the University of Wisconsin Medical School.

Arch Intern Med (Chic). 1925;36(3):444. doi:10.1001/archinte.1925.00120150153009

In a recently published study of the centripetal venous pulse in man, White1 discusses the unfruitful efforts to measure the pulse pressure in the veins. The residuum of pressure from the arterial side would appear insufficient to affect manometric readings through the intravenous cannula, in his judgment. Furthermore, the success of White's observations on the centripetal venous pulse depends on a proper equalization of pressure within the glass capsule with the diastolic venous pressure. The difficulties encountered in this direction warrant recounting the following case:

REPORT OF CASE  E. G., a male student, aged 23, was admitted to the University Infirmary, March 28, 1924, in marked cardiac decompensation, manifested by persistent vomiting, dyspnea, cyanosis and palpitation. The underlying cardiac condition, which had existed for eleven years, consisted of double aortic and double mitral lesions. March 29, the symptoms of cardiac embarrassment became more pronounced and the venous pressure registered 18