The effect of oral potassium chloride on the normal and abnormal electrocardiogram; studies on the ventricular gradient II

Nonsudorific skin potential level: current hypothesis and psychophysiological significance

Skin potential level has two mechanisms of generation: that due to sweat gland activity (sudorific) and that due to other causes (nonsudorific). These mechanisms have, in the past, been frequently confounded. This paper addresses the importance of discriminating between the two mechanisms and describes two kinds of nonsudorific skin potentials. There is reason to except nonsudorific skin potential level to be an important factor in embryogenesis, tissue regeneration and atypical growth. Early work that associated these potentials with changes in consciousness (e.g., sleep and hypnosis) is inconclusive. The literature concerning physiological and psychological correlates of skin potential levels that have been attributed to nonsudorific mechanisms is reviewed, and the methodological problem of measuring these potentials is considered.

"Basal" palmar skin potentials and body fluid potassium

When palmar eccrine sweat glands are inactive the potential difference between palmar skin and a prepared forearm site is a function of the ratio of external (electrode electrolyte) and internal (tissue fluid) potassium concentrations. Evidence indicates that this "basal" palmar skin potential changes systematically with changes in ECF K+, and may be used to monitor such shifts, as, for example, in stress.

Theoretical considerations on the electrocardiogram of ventricular hypertrophy

The electrical effect of ventricular hypertrophy is evaluated with an idealized model. Perfectly symmetrical hypertrophy is expected to enlarge the QRS complex with a certain proportion of the amplitude and duration. If the conduction velocity is unaltered, the QRS area will be increased proportionally to the myocardial mass. 2) Based on the preservation of the ventricular gradient, the secondary T change is expressed as a function of the QRS and G vectors. A theoretically interesting parameter, G/QRS ratio, is defined as a measure of the "ventricular gradient density," which is important for the over-all recovery pattern. This ratio is decreased in ventricular hypertrophy and is closely related to the QRS-T angle. 3) From the viewpoint of the theory, clinical cases with left ventricular hypertrophy are examined. The theory describes the cases with uncompicated hypertension fairly well, although variations from case to case are not small. Underlying assumptions and causes of deviations in actual cases are discussed.