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Article
February 1914

STUDIES ON THE CIRCULATION IN MAN: XI. THE BLOOD-FLOW IN THE HANDS AND FEET IN CERTAIN DISEASED CONDITIONS OF THE VESSELS OR OF THEIR VENOUS MECHANISM

Author Affiliations

CLEVELAND

From the H. K. Cushing Laboratory of Experimental Medicine, Western Reserve University.

Arch Intern Med (Chic). 1914;XIII(2):177-207. doi:10.1001/archinte.1914.00070080002001
Abstract

I. ARTERIOSCLEROSIS  It need scarcely be pointed out that several of the patients in the previous paper suffered from arteriosclerosis, in addition to valvular lesions of the heart or myocardial changes. In this section a few cases are brought together in which arteriosclerosis was pronounced and other lesions if present did not dominate the clinical picture. As a general result of the observations, it may be stated that in marked arteriosclerosis the flow in the hands is always smaller and the vasomotor reflexes weaker than in normal persons. Vasodilatation is easier to obtain by the application of warmth to the contralateral hand than vasoconstriction by the application of cold.One of the purest cases of marked arteriosclerosis is that of Meyer G., a man aged 39, without detectable cardiac involvement. The flow was only 2.88 grams for the right hand and 3.46 grams for the left

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