Osteopathic Palpation of the Heart

Cureus Journal of Medical Science, 2021

There is a lack of published literature in osteopathic manual medicine on how to perform palpation of the lower respiratory tree such as the trachea, main bronchi, and lungs. Several authors have studied the osteopathic effect and respiratory response of palpation but have failed to demonstrate how to perform palpation of the visceral areas involved in breathing, either in the context of a clinical trial or as a case report. This paper reviews the innervation of these anatomical areas, the mechano-metabolic weight of the passage of fluids and air in the respiratory tract, the anatomical topography, and the movements involved in respiration. Drawing from current knowledge, this article illustrates, for the first time, how to place the hands for an effective osteopathic assessment of the tracheal, bronchial, and pulmonary structures. Understanding how to perform palpation of the lower areas is a fundamental tool in the clinic and potential therapy in osteopathic manual medicine.

2009

The heart is an organ which main characteristic is its autonomy of function. Therefore, it is possible to develop elementary experiments such as extirpating the heart of a frog (Bufo amenarum), which during a certain amount of time keeps beating and even responding to brady-or tachycardian chemical stimulations. The underlying cause of this phenomenon is the action of specific solutions, which shower the mentioned organ. However, inside the organism, it adapts its functions to the somatic reality and to the specific moment of that soma. These conducts are instrumented by a complex system of information gathering, the adoption of central nervous system's function standards, and the production of functional responses suitable for the different possible situations. All these functions are related to cardiac innervation. © Neuroanatomy. 2009; 8: 26-31.

International Medical Case Reports Journal, 2019

The case report presents a patient with a possible neuropathic sternal pain associated with a recent heart transplant procedure. The patient could not breathe deeply and move the upper limbs, with a trunk torsion, feeling a sharp pain under and around the left breastbone. A fascial osteopathic approach in the treatment of the pelvic floor, the respiratory diaphragm, the thoracic outlet, the tongue and the tentorium cerebelli allowed the patient to access to a cardiovascular rehabilitation program. In osteopathic medicine, these anatomical parts of the body are called the five diaphragms. To our best knowledge, this is the first case report that uses osteopathic treatment in a patient with sternal pain associated with an undergoing cardiac transplantation. The clinical importance of the case report is added to other osteopathic research with patients undergoing cardiac surgery (coronary artery bypass graft) and with multiple benefits, without side effects. One of the main goals of osteopathic treatment is to provide the patient with well-being, from many clinical points of view, allowing the person to be discharged from the hospital more quickly and/or with less pain.

International Journal of Cardiology, 1992

The purpose of this study was to determine the accuracy of percussion of the left cardiac border. Sixty-six adult patients were studied. The left cardiac border as determined by percussion and marked with a calibrated lead marker was compared with that obtained by a chest X-ray. The error in locating the left cardiac border by percussion ranged from underestimating by 5.0 cm to overestimating by 5.5 cm. The mean absolute error was 1.6 cm (SD = 1.6 cm). In 74% (49/66) and 85% (56/66) of the patients the percussed border was within 1.0 and 2.0 cm, respectively, of that established by X-ray. In 24 of the 66 cases, a second examiner also independently percussed the left cardiac border. The differences between the location determined by the two observers ranged from 0 to 4 cm with a mean difference of 1.2 cm (SD = 1.0 cm). Conclusion: Percussion can accurately locate the left cardiac border in the adult patient and is a reproducible technique.

Surgery, 1985

The present study compares the hemodynamic effectiveness of closed-chest cardiac massage (CCCM) with closed subdiaphragmatic massage (CSDM) and four open transdiaphragmatic cardiac massage techniques during cardiac arrest with an open abdomen. In 10 dogs CCCM resulted in the lowest cardiac index (CI), mean arterial pressure (MBP), and carotid blood flow (CBF) of all cardiac massage techniques tested. CSDM was not statistically superior to CCCM in the dog (p greater than 0.05) but did result in a 23% increase in CI and a 54% increase in CBF. Transdiaphragmatic retrocardiac massage through an incision in the diaphragm resulted in the highest CI, MBP, and CBF of all the four open transdiaphragmatic techniques and had significantly higher values than those for CCCM in the dog (p less than 0.05). In three cadaveric renal donors, all four open transdiaphragmatic techniques and CSDM were noted to be equal to or superior to CCCM. Three patients have been successfully resuscitated with diaphragmatic cardiac massage techniques for cardiac arrest while undergoing abdominal operations. These studies reveal that all subdiaphragmatic or transdiaphragmatic techniques for cardiac massage are hemodynamically equivalent to or superior to the standard CCCM without such complications as fractured ribs and should be considered the treatment of choice for cardiac arrest in the patient with an open abdomen.

All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise without written permission from the Publisher.

Folia morphologica, 2014

Anthropologic, artistic and medical significance of heart inspired usto undertake this multidisciplinary study. Amongst the 24 obtained echocardiograms and phonograms, 1 was used for a Photoshop processing. In addition, over 20,000 art work reproductions were examined in this study. Artistic and symbolic presentation of heart started some 15,000 years ago. First heart models were made by the Egyptian and Olmec civilisations. Ancient cultures regarded heart as the seat of the soul, spirit and intelligence. First anatomical and artistic images of heart were created by Leonardo da Vinci in the15th century, and first wax models by the Italian anatomists in the 17th century. Mediaeval religious symbolism of heart was replaced in the Renaissance and later on mainly by its role in the romantic love. Anatomical heart art continued in the 18th and 19th centuries through the works of Sénac, Cloquet, Hirschfeldand Bourgery. Some modern artists, such as Dalí, Kahlo, Rivera, Warhol, Ivanjicki, V...

Menoufia Nursing Journal

Background: patients undergoing cardiac catheterization are reliable to pain that could be changed to emotional, psychological and physical distresses that leave negative effect on the prognosis and outcome of the disease and surgery. Therefore, this study was done to evaluate the effect of foot massage on pain level among patients undergoing cardiac catheterization. Design: a quasi-experimental research design was utilized. Setting: The current study was conducted in cardiac catheterization unit of Menoufia University Hospital. Samplings of 120 patients undergoing cardiac catheterization were assigned randomly into two equal groups, 60 patients for each group: Study group (1): received foot massage therapy. Control group (2): received routine hospital care only. Two instruments were used by the researcher for collecting the necessary data, these tools were: Instrument 1: Structured Interview Patient Assessment Instrument. Instrument 2: a Visual Analogue Pain scale (VAS).Results: Patients in the study group experienced less pain than control group post foot massage. Conclusions: The study concluded that foot massage had a positive effect in reducing pain level among patients underwent cardiac catheterization. Recommendations: The study recommended that foot massage should be part of the overall patient's management and must be routinely carried out.

Resuscitation, 1988

Open-chest cardiopulmonary resuscitation (CPR) is physiologically superior to all external CPR methods studied thus far (P. Safer, Ann. Emerg. Med., 13 (19841856) [l]. Open-chest CPR should again be taught to physicians, and used more often after prolonged cardiac arrest. An extensive review on open cardiac massage is presented herein.

Background: The rate of anxiety and pain in coronary artery patients before angiography is significantly higher. Aim: This study aimed to examine the effect of foot massage on physiological and psychological parameters among patients undergone cardiac catheterization. Design: A quasi-experimental research design was utilized. Setting: The current study was conducted in cardiac catheterization unit of Menoufia University Hospital. Subjects: 120 patients undergone cardiac catheterization assigned randomly into two equal groups, 60 patients for each group: Studied group (I) received foot massage therapy besides the routine hospital care while control group (II) received routine hospital care only .Three tools were used by the researcher for collecting the necessary data; Structured Interview Questionnaire, State Anxiety Inventory (SAI) and Visual Analogue pain scale (VAS). Results: There was a statistically significant difference related to pain level between study and control groups post-intervention with p-value =0.02, also there was a highly statistically significance difference related to anxiety level between study and control groups post-intervention with p-value ≤ 0.001 and a highly statistically significance difference related to systolic and diastolic blood pressure as well as heart rate between study and control groups post-intervention. Conclusions: Foot massage has a positive effect in reducing anxiety and pain level as well as heart rate and blood pressure among patients undergone cardiac catheterization. Recommendations: Foot massage should be applied for patients before cardiac catheterization.