The Heart As a Power Chamber a Contribution to Cardio Dynamics

Cover The Heart As a Power Chamber a Contribution to Cardio Dynamics
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104 THE HEART AS POWER-CHAMBER interval, say two to four seconds (cf. The schema), and in this short interval the concentration of the drug will have suffered very little loss, diffusion being the chief means of dilution. We may take it, then, that as the medicated blood fills, first the right auricle and then the right ventricle, it will find its chief opportunity for direct stimulation of the walls of the right heart. This stimulation will be the more needed because in nearly every form of ac
...ute circulatory failure the blood tends to lag and gather on the right side of the heart, overloading its cavities ; this, then, will be a great gain. But what about the left ventricle : must it wait for any similar action upon its walls, until the same quantum of blood has been passed through the pulmonary circuit, where in its passage through the close- set meshwork of capillaries it will have been exposed to very appreciable loss of its stimulant powers by evaporation (this will hold specially when the medicament is a diffusible stimulant, such as ammonia or ether) ?

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