[Skip to Content]
[Skip to Content Landing]
Article
November 1910

AN EXPERIMENTAL STUDY OF THE RESISTANCE TO COMPRESSION OF THE ARTERIAL WALL

Author Affiliations

NEW YORK

From the Department of Practice of Medicine and the Maria McLean Proudfit Fellowship in Medicine, in the College of Physicians and Surgeons, Columbia University, New York.

Arch Intern Med (Chic). 1910;VI(5):586-613. doi:10.1001/archinte.1910.00050330121008
Abstract

The object of this study was to determine whether the resistance to compression of the arterial wall introduces an error of any importance in the clinical measurement of systolic blood-pressure by methods employing circular compression of the arm.

PREVIOUS STUDIES AND PRESENT STATUS OF THE QUESTION  Very few studies of this problem have been made, and none of these can stand criticism. Von Basch1 measured crudely the pressure necessary to close the empty radial artery. He found that this was 1 mm. for normal, and not much above 5 mm. for sclerotic vessels.Martin,2 in a few experiments on the normal carotids of man, horse, and dog, found that a pressure of 2 mm. was sufficient to collapse the arterial wall; in arteries from an advanced case of arteriosclerosis only 7 mm. were required.No subsequent direct experiments were made, until those in 1908, by Herringham and Womack,

References
1.
Von Basch, S.:  Der Sphygmomanometer und seine Verwerthung in der Praxis ,  Berl. klin. Wchnschr. , 1887, xxiv, 181.
2.
Martin, C. J.:  The Determination of Arterial Blood-Pressure in Clinical Practice ,  Brit. Med. Jour. , 1905, i, 865.Crossref
3.
Herringham, W. P., and Womack, F.:  Proc. Roy. Soc. Med. , 1908, ii, 37. (Med. Sect.)
4.
Hill, L.:  The Measurement of Systolic Blood-Pressure in Man ,  Heart , 1909, i, 73.
5.
Herringham, W. P.:  Proc. Roy. Soc. Med. , 1909, ii, 238. (Med. Sect.)
6.
Scholtyssek, August:  Arch. f. Anat. u. Physiol. , 1909,  Physiol. Abt. , p. 323.
7.
Schmidt, Magnus:  Arch. f. Anat. u. Physiol. , 1909,  Physiol. Abt. , p. 331.
8.
Janeway, T. C.:  The Clinical Study of Blood-Pressure , D. Appleton & Co., New York and London, 1904, p. 60.
9.
Williamson:  Proc. Roy. Soc. Med. , 1909, ii, (Med. Sect.), 229.
10.
Oliver, G.:  Studies in Blood-Pressure , Ed. 2, H. K. Lewis, London, 1908, p. 111.
11.
V. Recklinghausen, H.:  Ueber Blutdruckmessung beim Menschen ,  Arch. f. exper. Path. u. Pharmakol. , 1901, xlvi, 78.Crossref
12.
Hensen, H.:  Beitrag zur Physiologie und Pathologie des Blutdrucks ,  Deutsch. Arch. f. klin. Med. , 1900, lxvii, 443.
13.
Russell, W.:  Arterial Hypertonus, Sclerosis and Blood-Pressure , J. B. Lippincott Co., Philadelphia, 1908, p. 87.
14.
Müller and Blauel:  Zur Kritik des Riva-Roccischen und Gärtnerschen Sphygmomanometers ,  Deutsch. Arch. f. klin. Med. , 1907, xci, 317.
15.
Volhard:  Ueber die Messung des diastolischen Blutdrucks beim Menschen ,  Verhandl. d. Cong. f. innere Med. , 1909, xxvi, 200.
16.
Janeway, T. C.:  The Influence of the Soft Tissues of the Arm on Clinical Blood-Pressure Determinations ,  The Archives Int. Med. , 1909, iii, 474.Crossref
17.
Meyer, O. B.:  Ueber einige Eigenschaften der Gefässmuskulatur mit besondere Berücksichtigung der Adrenalinwirkung ,  Ztschr. f. Biol. , 1906, xlviii, 352.
18.
MacWilliam, J. A., and Mackie, A. H.:  Observations on Arteries, Normal and Pathological ,  Brit. Med. Jour. , 1908, ii, 1477.Crossref
19.
Russell, W.:  Arterial Hypertonus, Sclerosis and Blood-Pressure , J. B. Lippincott Co., Philadelphia, 1908, p. 60.
×