Page:The Harveian oration, 1873.djvu/44

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of the blood from the auricle into the ventricle, and takes place so instantaneously after the ventricular contraction, that the one movement appears to run on to continue itself into the other. There is then a pause, which seems comparatively of considerable duration, and which is succeeded by a recommencement of the heart's action, beginning with the ventricular contraction.'

Dr. Pavy has very kindly gone to the trouble of repeating the experiment upon which these statements are based; and from a letter with which he has favoured me, I gather that the auricular contraction detectable by the cardiographic tracing, as immediately preceding the ventricular contraction, is also detectable, of course during the pause just mentioned, by the eye, unassisted by the cardiograph, and turned simply upon the exposed heart, in which the auricular appendix is seen to become redder or more flesh-coloured at the moment in question. And he further remarks that this auricular contraction, difficult[1] though

  1. I apprehend that Dr. Walshe's account of the auscultatory phenomena as occurring under normal conditions