HERZKYMOGRAPHISCHE UNTERSUCHUNGEN BEI HYDROTHERAPEUTISCHEN ANWENDUNGEN

Journal/Book: ARCHIVES OF MEDICAL HYDROLOGY January 1937. 1937;

Abstract: Von Prof. Dr. G. BOEHM München SCHLUSSFOLGERUNGEN Zusammenfassend läßt sich sagen dass die Methode der Flächenkymographie des Herzens sich eignet alte Fragestellungen hydrotherapeutischer Forschung wieder aufzunehmen und darzulegen wie stark bereits ein einfaches indifferentes Bad die Herzaktion und die Beanspruchung des Herzens beeinflusst. Ferner geht aus den gebrachten Untersuchungsserien hervor dass umgekehrt die Hydrotherapie zur Klärung wichtiger Fragen der Kreislaufphysiologie und insbesondere der Röntgenkymographie des Herzens und ihrer Auswertbarkeit beitragen kann. Summary. The kymogram of the heart shadow is an X-ray photo graph series taken with a slatted diaphragm the slats being moved at intervals during the cardiac cycle. The result is a wavy outline which records (a) the size of the shadow at the time of greatest expansion and contraction ; (b) frequency of changes ; (c) indications of point in time at which various parts of the heart are in action and the characteristics of this action ; e.g. an outline the waves of which run almost to a point show a quick filling and emptying and obtuse waves a lingering final phase. For studying the heart's action in full tub baths and in standing baths in a barrel-shaped bath a screen was built into the bath itself. Of the many slides shown illustrating the procedure and the effects produced by baths at various depths and temperatures and by douches we can reproduce only two relating to an indifferent bath. Fig. I. is the kymogram of a patient seated in a bath-tub before any water has been run in ; Fig. II of the same patient in the water after twenty minutes' immersion. After hot baths diminution of the shadow is found ; after cold baths enlargement. Some conditions previously supposed to be pathological are found to occur temporarily after hydrotherapy. The researches are being continued and extended to medicated baths and supplementary physical procedures. schö

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