The Prolonged Rise in the Muscle Record
As [Fig. 12] shows, the initial quick uplift in the blood-pressure record is quickly checked by a drop. This rapid drop does not appear when the adrenal veins are obstructed. A similar difference in blood-pressure records has been noted before and after excision of the adrenal glands. As Elliott,[8] and as Lyman and I[9] have shown, this sharp drop after the first rise, and also the subsequent elevation of blood pressure, are the consequences of liberation of adrenal secretion into the circulation. [Fig. 12] demonstrates that the prolonged rise of the muscle record begins soon after this characteristic drop in blood pressure.
If after clips have been placed on the adrenal veins so that no blood passes from them, the splanchnic nerves are stimulated, and later the clips are removed, a slight but distinct improvement in the muscular contraction occurs. As in the experiments of Young and Lehmann,[10] in which the adrenal veins were tied for a time and then released, the release of the blood which had been pent in these veins was quickly followed by a rise of blood pressure. The volume of blood thus restored to circulation was too slight to account for the rise of pressure. In conjunction with the evidence that splanchnic stimulation calls forth adrenal secretion, the rise may reasonably be attributed to that secretion. The fact should be noted, however, that in this instance the prolonged improvement in muscular contraction did not appear until the adrenal secretion had been admitted to the general circulation.
Many variations in the improvement of activity in fatigued muscle after splanchnic stimulation were noted in the course of our investigation. The improvement varied in degree, as indicated by increased height of the record. In some instances the height of contraction was doubled—a betterment by 100 per cent; in other instances the contraction after splanchnic stimulation was only a small fraction higher than that preceding the stimulation; and in still other instances there was no betterment whatever. Never, in our experience, were the augmented contractions equal to the original strong contractions of the fresh muscle.
The improvement also varied in degree as indicated by persistence of effect. In some instances the muscle returned to its former working level within four or five minutes after splanchnic stimulation ceased (see [Fig. 11]); and in other cases the muscle continued working with greater efficiency for fifteen or twenty minutes after the stimulation.