A universal celebration: 100 years of Korotkoff sounds, 1905 - 2005
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Vesalius : Acta Internationales Historiae Medicinae
|December 13, 2006
Abstract:
The measurement of systolic and diastolic blood pressure by auscultation was first described 100 years ago, when a young Russian army doctor, Nicolai Sergeevich Korotkoff, addressed a meeting at the Medical Academy of St. Petersburg on 8th November 1905. During the last hundred years, Korotkoff's contribution has proved to be one of the most useful methods in the diagnosis, treatment, monitoring and prevention of life threatening cardiovascular ailments and the centenary of his discovery should be celebrated universally.
Related Concept Videos
01:12Korotkoff Sounds
Korotkoff sounds are the specific sounds heard while measuring blood pressure using a sphygmomanometer, typically with a stethoscope or a Doppler device. They are named after Russian physician Nikolai Korotkov, who first described them in 1905. These sounds correspond to turbulent blood flow in the artery as the blood pressure cuff is gradually released after inflation.
During blood pressure assessment, inflating the cuff 30 millimeters of mercury above the patient's systolic blood pressure...
During blood pressure assessment, inflating the cuff 30 millimeters of mercury above the patient's systolic blood pressure...
01:17Sound as Pressure Waves
Sound waves, which are longitudinal waves, can be modeled as the displacement amplitude varying as a function of the spatial and temporal coordinates. As a column of the medium is displaced, its successive columns are also displaced. As the successive displacements differ relatively, a pressure difference with the surrounding pressure is created. The gauge pressure varies across the medium.
The pressure fluctuation depends on the difference in displacements between the successive points in the...
The pressure fluctuation depends on the difference in displacements between the successive points in the...
01:15Heart Sounds
Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
01:01Sound Waves
Sound waves can be thought of as fluctuations in the pressure of a medium through which they propagate. Since the pressure also makes the medium's particles vibrate along its direction of motion, the waves can be modeled as the displacement of the medium's particles from their mean position.
Sound waves are longitudinal in most fluids because fluids cannot sustain any lateral pressure. In solids, however, shear forces help in propagating the disturbance in the lateral direction as well. Hence,...
Sound waves are longitudinal in most fluids because fluids cannot sustain any lateral pressure. In solids, however, shear forces help in propagating the disturbance in the lateral direction as well. Hence,...
01:14Sound Waves: Resonance
Resonance is produced depending on the boundary conditions imposed on a wave. Resonance can be produced in a string under tension with symmetrical boundary conditions (i.e., has a node at each end). A node is defined as a fixed point where the string does not move. The symmetrical boundary conditions result in some frequencies resonating and producing standing waves, while other frequencies interfere destructively. Sound waves can resonate in a hollow tube, and the frequencies of the sound...
01:11The Auditory Ossicles
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...