Progress Towards a Physiological Cardiology
Authors: Isaac Starr
Journal: Annals of Internal Medicine (1965)

Review1 December 1965Progress Towards a Physiological CardiologyA Second Essay on the BallistocardiogramISAAC STARR, M.D.ISAAC STARR, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-6-1079 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOver 12 years have elapsed since the author was first requested to review the literature on the ballistocardiogram for this journal (1), and he is delighted to have this opportunity to bring its readers up to date. Since the publication of the article in 1952 the advances in instrumentation and in theory have been very great, and real progress has been made towards our goal, the application of the fundamental Newtonian principles of mechanics to the problems of heart disease, in order to estimate the strength or weakness of the hearts of our patients and the co-ordination or inco-ordination of...References*1. STARR I: Present status of the ballistocardiogram. Ann. Intern. Med. 37: 839, 1952. LinkGoogle Scholar2. STARRWOOD IFC: Twenty-year studies with the ballistocardiogram. The relation between the amplitude of the first record of "healthy" adults and eventual mortality and morbidity from heart disease. Circulation 23: 714, 1961. CrossrefGoogle Scholar3. STARR I: Prognostic value of ballistocardiograms: studies on evaluation of the doctor's experience. JAMA 187: 511, 1964. CrossrefMedlineGoogle Scholar4. STARR I: Studies made by simulating systole at necropsy. XI. On the higher dynamic functions of the heart and their reflections in the pulse wave. Circulation 17: 589, 1958. CrossrefMedlineGoogle Scholar5. RUSHMERWATSONHARDINGBAKER RFNDD: Effects of acute coronary occlusion on performance of right and left ventricles in intact unanesthetized dogs. Amer. Heart J. 66: 522, 1963. CrossrefMedlineGoogle Scholar6. NOBLETRENCHARDGUZ MIDA: Studies of the acceleration of the blood in the ascending aorta of conscious dogs. Proceedings of the 1st World Congress on Ballistocardiography and Cardiovascular Dynamics, Amsterdam, 1965. Cardiologia (Basel). In press, January 1966. Google Scholar7. STARRNOORDERGRAAF IA: A comparison between ultralow-frequency ballistocardiograms and those secured by an improved high-frequency technique, with studies to explain the remaining differences. Amer. Heart J. 64: 79, 1962. CrossrefMedlineGoogle Scholar8. NOORDERGRAAFHEYNEKAMP ACE: Genesis of the human longitudinal ballistocardiogram from the changing blood distribution. Amer. J. Cardiol. 2: 748, 1958. CrossrefMedlineGoogle Scholar9. NOORDERGRAAF A: Further studies on a theory of the ballistocardiogram. Circulation 23: 413, 1961. CrossrefMedlineGoogle Scholar10. NOORDERGRAAFVERDOUWBOOM APDHB: The use of an analog computer in a circulation model. Progr. Cardiov. Dis. 5: 419, 1963. CrossrefMedlineGoogle Scholar11. NOORDERGRAAF A: Development of an analog computer for the human systemic circulatory system, in Circulatory Analog Computers. North-Holland Publishing Co., Amsterdam, 1963. Google Scholar12. STARRSCHNABELMAYOCK ITGRL: Studies made by simulating systole at necropsy. II. Experiments on the relation of cardiac and peripheral factors to the genesis of the pulse wave and the ballistocardiogram. Circulation 8: 44, 1953. CrossrefMedlineGoogle Scholar13. BURGERNOORDERGRAAF HCA: Physical basis of ballistocardiography. II. The quantities that can be measured with different types of ballistocardiographs and their mutual relations. Amer. Heart J. 51: 127, 1956. CrossrefMedlineGoogle Scholar14. HIXSONBEISCHER WCDE: Biotelemetry of the Triaxial Ballistocardiogram and Electrocardiogram in a Weightless Environment. Monograph 10, U. S. Naval School of Aviation Medicine, Pensacola, Florida, 1964. Google Scholar15. DOCKMANDELBAUMMANDELBAUM WHRA: Ballistocardiography. The C. V. Mosby Co., St. Louis, 1953. Google Scholar16. NOORDERGRAAF A: Physical aspects of the "direct" recording of body displacement, velocity, and acceleration by shin-bar ballistocardiographs. Circulation 23: 426, 1961. CrossrefMedlineGoogle Scholar17. ARBEITLINDNER SRN: A new full-frequency range calibrated ballistocardiograph. Amer. Heart J. 45: 52, 1953. CrossrefMedlineGoogle Scholar18. SMITHBRYAN JRS: Simultaneous calibrated recording of displacement, velocity and acceleration in ballistocardiography. Ibid., p. 715. Google Scholar19. TOBINEDSENDICKESFLAMDEUTSCH MJMRGHL: The elimination of body resonance distortion from the direct body ballistocardiogram. Circulation 12: 108, 1955. CrossrefMedlineGoogle Scholar20. AMBROSISTARR CI: High-frequency shin-bar ballistocardiograms, a method of greatly improving simple shin-bar records. Amer. Heart J. 68: 500, 1964. CrossrefMedlineGoogle Scholar21. CUNNINGHAM M: Lateral acceleration fidelity on air bearing ballistocardiograph. Lille Med. Special number 101, 1964. Google Scholar22. STARR I: Relation of the ballistocardiogram to cardiac function. Amer. J. Cardiol. 2: 737, 1958. CrossrefMedlineGoogle Scholar23. KLENSCHALIEFF HA: Der Kreislauf des Frosches bei Äenderung seiner Korpertemperatur. Z. Kreislaufforsch. 51: 211, 1962. MedlineGoogle Scholar24. HONIGTENNEY CRSM: The relationship between the ballistocardiogram, cardiac movement, and blood flow. Amer. Heart J. 52: 167, 1956. CrossrefMedlineGoogle Scholar25. KNOOP AA: Experimental Investigations on the Ultra-low Frequency Displacement Ballistocardiography, translation edited by SCARBOROUGH, W. R. Georgetown Clinical Research Institute, Office of Aviation Medicine, Federal Aviation Agency, Washington, D. C., 1964. Google Scholar26. PRETORIUS PJ: Experimental Investigations on Ultra-low Frequency Acceleration Ballistocardiography. Thesis, Free University, Amsterdam, 1962. Google Scholar27. MOREIRADE AZEIRDO MGSG: Ballistocardiographic effects of pentobarbital sodium given intravenously in the dog (in Portuguese) Med. Contemp. 80: 29, 1962. MedlineGoogle Scholar28. SCARBOROUGH WR: Some circulatory effects of morphine-barbiturate anesthesia, artificial respiration and abdominal compression based on ballistocardiographic observations on dogs. Amer. Heart J. 54: 651, 1957. CrossrefMedlineGoogle Scholar29. CORBASCIOWEST ANJW: Effects of selective myocardial stimulation or depression induced by intracoronary administration of drugs or by obstruction of major vessels. Studies with the dog ultralow-frequency ballistocardiogram. Amer. Heart J. 62: 785, 1961. CrossrefMedlineGoogle Scholar30. MASINISTRANOFILOCANOSAPONARO VAGA: The ballistocardiogram in experimental lesions of a coronary artery (in Italian). Atti. Soc. Ital. Cardiol. 16: 113, 1954. Google Scholar31. WESTCORBASCIO JWAN: An Experimental Study of the Atrial Ballistocardiogram with Special Reference to the Genesis of the H Wave. To be published. Google Scholar32. DARBYWALTONGAZES TDRPRC: Effects of drugs in ballistocardiographic recordings, correlations with other cardiovascular measurements in the dog and in man. Amer. J. Cardiol. 3: 668, 1959. CrossrefMedlineGoogle Scholar33. WINTERDEUCHARNOVLEGUZ PJDCMNA: The ballistocardiogram and left ventricular ejection in the dog. Proceedings of the 1st World Congress of Ballistocardiography and Cardiovascular Dynamics, Amsterdam, 1965. Cardiologia (Basel). In press, January 1966. Google Scholar34. STARR I: An essay on the strength of the heart and on the effect of aging upon it. Amer. J. Cardiol. 14: 771, 1964. CrossrefMedlineGoogle Scholar35. STARROGAWA IS: Incoordination of the cardiac contraction in clinical conditions; as judged by the ballistocardiogram and by the pulse derivative. Amer. J. Med. Sci. 244: 663, 1962. CrossrefMedlineGoogle Scholar36. AMBROSISTARR CI: Incoordination of the cardiac contraction as judged by the force ballistocardiogram and by the carotid pulse derivative. Amer. Heart J. In press, December 1965. CrossrefMedlineGoogle Scholar37. STARROGAWA IS: A clinical study of the first derivative of the brachial pulse. Normal standards and abnormalities encountered in disease. Amer. Heart J. 65: 482, 1963. CrossrefMedlineGoogle Scholar38. SPENCERGREISS MPFC: Dynamics of ventricular ejection. Circ. Res. 10: 274, 1962. CrossrefMedlineGoogle Scholar39. ELSBACH H: Clinical Investigations with the Low Frequency Ballistocardiograph According to the Method of Burger (thesis Leiden 1954), translation edited by SCARBOROUGH, W. R. Grant (H-3396) provided by the National Heart Institute, National Institutes of Health, U. S. Public Health Service, Bethesda, Md. Google Scholar40. JONNART L: Le ballistocardiogramme d'ultrabasse frequence. Acta Cardiol. (Brux.) 15 (Suppl. 9): 1, 1960. MedlineGoogle Scholar41. KLENSCHEGER HW: Die Bestimmung des Schlagvolumens aus dem Ballistokardiogram. Deutsch. Med. Wschr. 81: 1205, 1956. MedlineGoogle Scholar42. KLENSCHSCHAEDETHUMCASPARIHILGER HAPRH: Vergleichende Untersuchung des Minutenvolumens des Herzens mit der direkten Fickschen Methode. Pfluegers Arch. Ges. Physiol. 269: 232, 1959. CrossrefMedlineGoogle Scholar43. HILGERBEHRENBECK HHD: Vergleichende Messungen mit der ballistischen und der direkten Fickschen Methode über den Einfluss von Nitroglyzerine auf das Herzminutenvolumen. Z. Kreislaufforsch. 50: 720, 1961. Google Scholar44. VAN BRUMMELENSCARBOROUGHJOSENHANS AGWRWK: On the elimination of pulse wave velocity in stroke volume determination from the ultralow-frequency displacement ballistocardiogram. Amer. Heart J. 67: 374, 1964. CrossrefMedlineGoogle Scholar45. WAREMBOURGDESRUELLESMERLENLANTREIBECQ HJJFP: Evaluation du debit systolique par la méthode ballistocardiographique de Klensch. Lille Med. 8: 771, 1963. Google Scholar46. HUEGINEGER WW: Ballistographische Untersuchungen zur Frage zum Effekt von Vasopressoren in Halothannarkose. Anaesthesist 10: 44, 1961. MedlineGoogle Scholar47. ELSBACHRODRIGO HFA: The ultra-low frequency ballistocardiogram in particular the velocity tracing in intracardiac shunts. A semi-quantitative approach. Lille Med. Special number 77, 1964. Google Scholar48. STARR I: Essay on the ballistocardiogram. JAMA 155: 1413, 1954. CrossrefMedlineGoogle Scholar49. MOSS AJ: Ballistocardiographic evaluation of the cardiovascular aging process. Circulation 23: 434, 1961. CrossrefMedlineGoogle Scholar50. STARRPEDERSENCORBASCIO IEAN: The effect of nitroglycerine on the ballistocardiogram of persons with and without clinical evidence of coronary heart disease. Circulation 12: 588, 1955. CrossrefMedlineGoogle Scholar51. PHIBBS PD: Factors in fidelity of ultra-low frequency ballistocardiographic system: possible significance of high-frequency response. Proceedings of the Ballistocardiograph Research Society. Amer. J. Cardiol. 12: 581, 1963. CrossrefGoogle Scholar52. MALT RA: The depressant effect of ether on the heart: a study with the ULF force Bcg. Amer. Heart J. 55: 572, 1958. CrossrefMedlineGoogle Scholar53. STARRMAYOCK IRL: On the significance of abnormal forms of the ballistocardiogram. A study of 234 cases with 40 necropsies. Amer. J. Med. Sci. 214: 631, 1948. CrossrefGoogle Scholar54. KATCHERPIERCECRUMSAYEN AHGPJ: Stereoscopic studies on the synchrony of left ventricular contraction. Fed. Proc. 21: 131, 1962. Google Scholar55. DAVISSCARBOROUGHMASENSINGEWALDBAKER FWWRREMLBM: The effects of exercise and smoking on the electrocardiograms and ballistocardiograms of normal subjects and patients with coronary artery disease. Amer. Heart J. 46: 529, 1953. CrossrefMedlineGoogle Scholar56. MAKINSON DH: Changes in the Bcg after exercise in normal and abnormal subjects. Circulation 1: 186, 1950. CrossrefGoogle Scholar57. TALBOTHARRISONGINN SAWKWM: Features of ULF Bcg pertinent to coronary heart disease. Proceedings of the 1st World Congress of Ballistocardiography and Cardiovascular Dynamics, Amsterdam, 1965. Cardiologia (Basel). In press, January 1966. Google Scholar58. BUFF IE: The ballistocardiogram after a heavy meal, diagnostic value in patients with suspected coronary heart disease. Amer. J. Cardiol. 3: 111, 1959. CrossrefMedlineGoogle Scholar59. PENNEYS R: The oximeter-controlled induced anoxemia test. Arch. Intern. Med. (Chicago) 101: 747, 1958. CrossrefGoogle Scholar60. HENDERSON CB: Ballistocardiograms after cigarette smoking in health and in coronary heart disease. Brit. Heart J. 15: 278, 1953. CrossrefMedlineGoogle Scholar61. DAVIS FW: In panel discussion on significance of electrocardiographic and ballistocardiographic changes induced by smoking. Ann. N. Y. Acad. Sci. 90: 200, 1960. Google Scholar62. BUCHANANCAMERON JAJ: Ballistocardiographic Smoking Tests in Young Patients with Diabetes Mellitus. Proceedings of the 2nd European Symposium of the Society for Ballistocardiograph Research. Bonn, 1962, p. 99. Google Scholar63. BUCHANAN J: Ballistocardiographic smoking test in thyrotoxicosis. Proceedings of the 1st World Congress of Ballistocardiography and Cardiovascular Dynamics, Amsterdam, 1965. Cardiologia (Basel). In press, January 1966. Google Scholar64. KLENSCH H: Herzbelastung durch Nicotin. Deutsch. Med. Forschung 2: 131, 1964. Google Scholar65. STARRASKOVITZMANDELBAUM ISIEM: Items of prognostic value in the clinical study. Relation of symptoms, heart size, blood pressure, electrocardiogram, and ballistocardiogram to after-histories and to each other. JAMA 192: 83, 1965. CrossrefMedlineGoogle Scholar66. BRAVO OLALLA S: L'utilité du ballistocardiogramme dans l'insuffisance coronarienne. Proceedings of the European Society for Ballistocardiograph Research, Brussels meeting, 1962, p. 164. Google Scholar67. TALAKOV AA: Prognostic importance of the ballistocardiograms in mitral valvular lesions. Proceedings of the 1st World Congress of Ballistocardiography and Cardiovascular Dynamics, Amsterdam, 1965. Cardiologia (Basel). In press, January 1966. Google Scholar68. HOLLOSZYSKINNERBARRYCURETON JOJSAJTK: Effect of physical conditioning on cardiovascular function. A ballistocardiographic study. Amer. J. Cardiol. 14: 761, 1964. CrossrefMedlineGoogle Scholar69. SCARBOROUGHTALBOT WRSA: Proposals for ballistocardiographic nomenclature and conventions; revised and extended. Report of committee on ballistocardiographic terminology. Circulation 14: 435, 1956. CrossrefMedlineGoogle Scholar70. STARR I: On reading ballistocardiograms. Amer. J. Cardiol. 2: 404, 1958. CrossrefMedlineGoogle Scholar71. STARR I: Studies made by simulating systole at necropsy. XII. Estimation of the initial cardiac forces from the ballistocardiogram. Circulation 20: 74, 1959. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, PennsylvaniaFrom the Department of Therapeutic Research, University of Pennsylvania, Philadelphia, Pa.This work has been supported for many years by research grant H 625, National Heart Institute, National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Isaac Starr, M.D., 851 Gates Pavilion, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, Pa. 19104. 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