Harvard Psychological Studies, Volume 2

by Unknown

The fourth factor of importance is the rate of outflow. We may introduce the following assumption as to the rate of outflow of the blood through the capillaries: The outflow through the capillaries is uniform in the short time of one heart-beat. The fact has been mentioned above that the quantity of outflowing blood must be equal to the quantity of incoming, for any stationary form of the pulse movement; this new hypothesis means that the velocity of the outflow is constant. One might think that this assumption is warranted by the law of Poiseuille that the amount of outflow through a horizontal capillary filled with liquid under constant pressure depends on the fourth power of the radius and on the difference of pressure at the two ends of the tube, and is inversely proportional to the constant of friction and to the length of the tube. This law has been proved mathematically and tested physically only for horizontal tubes and constant pressure. Neither of these suppositions holds for the capillaries of the arterial system. The connection between the hypothesis in question and Poiseuille's law is this. Let us suppose that an artery splits up in a great number of arterioles which go off in every direction. The amount of outflow is then a complicated function, because the law of Poiseuille does not hold for every direction of the capillaries; but it will be equal to the outflow through a tube of certain radius and certain direction in the same time. Our assumption says that the law of Poiseuille holds for this typical but imaginary tube. The essential point of this hypothesis is merely the supposition that the outflow of blood through the capillaries follows α law.[69]

It is possible to show that the graphic registration of a movement under these four conditions must give curves which correspond to the pulse curves in every respect. The action of the left ventricle causes the pulse wave which travels through the arterial system with considerable velocity. This wave expands the arteries and the whole system is filled with blood because the wave arrives by its great velocity at the periphery before the contraction of the ventricle is finished. The increased pressure forces the blood to enter the arterioles, through which it passes at a constant rate. When the valves are closed, the amount of blood decreases uniformly and the volume of the blood contained in an artery can be represented graphically by a straight line of more or less steep descent, as is shown in Fig. 2. Now the walls of an artery have to a high degree the qualities of an elastic body, and, therefore, they are forced back by elasticity after being displaced from the position of equilibrium by the shock of the arriving pulse wave. The movement of a point of the arterial wall, therefore, results from two components: (1) From the movement which it would perform if it were merely forced to remain on the surface of the blood in the artery, and (2) from the movement due to the elasticity of the arterial wall. Both movements have the same direction, because the column of blood is enclosed in a cylinder the radius of which decreases regularly, and the elastic force of the arterial wall is directed towards the centre. The direction of both forces is in the line of the radius, and the resulting movement of these two components, therefore, can be found by simple superposition. Of the first component we know that it can be represented graphically by a straight line.

An elastic force tends always to bring the body back to the position of equilibrium; if the distance is not too great, the force is proportional to the elongation. A physical body is always under the influence of friction, the acceleration of which is opposite to the direction of the movement, and therefore diminishes the velocity. The form of the resulting movement depends on the amount of friction, and, roughly speaking, we may distinguish two types of elastic movements:[70] the first type is a periodic movement, the second an aperiodic. Let us suppose that a body is carried from its position of equilibrium by a sudden impulse, which transmits a certain velocity to the body. Friction and elasticity diminish this velocity, and after a certain time the body attains a maximum elongation, where the velocity is zero. Then the body returns under the influence of elasticity and under the retardation of friction. There are two cases possible, either the elastic force is strong enough to overcome friction and to carry the body over the position of equilibrium, or it is not strong enough. In the first case, it is easy to see, the body repeats the same form of movement on the other side of the position of equilibrium, and the conditions being constant a vibratory movement results as the stationary form. In the second case the body approaches the position of equilibrium asymptotically. The first case may be illustrated by the vibrations of a magnet needle suspended with little friction, the second by the movement of a door which is regulated by a well-working shutter.

These forms of the movement of a body under the influence of elasticity and friction are illustrated in Fig. 3.

Curve 1 shows a movement where friction is so small that it can be neglected; it is, of course, a simple sine curve. Curve 2 shows the effect of friction on vibrations. The period of damped vibrations is greater than in the frictionless movement, but the amplitudes are smaller. The amplitudes of a damped vibration decrease constantly and there is a simple relation between two subsequent amplitudes. The ratio between them is constant, and, therefore, if one amplitude and this constant ratio are known, all the other amplitudes can be calculated. The amplitudes of such a movement decrease as the terms of a geometric series. The dotted line in Fig. 4 represents the rapidity of this decrease. It is obvious that the smaller the constant ratio of two subsequent terms is, the more rapidly will the amplitudes decrease. This ratio depends on friction, and becomes smaller when friction becomes greater. A vibration under heavy friction dies out quickly. Curve 3 shows a movement where friction is too great to allow any vibrations. The body does not acquire a velocity which can carry it over the position of equilibrium, but it approaches this position with ever diminishing velocity.

Figs. 3 and 4

These are the types of movement which the arterial wall can perform by its elasticity in consequence of the shock of the arriving pulse wave. The mechanical nature of the components on which depends the form of the sphygmographic curve is, therefore, known. The constructions in Fig. 5 show how the resulting movement can be found.

Fig. 5