Icons of Cardiology
Otto Frank and the “Frank-Starling” Relationship |
Otto Frank and Ernest Starling
are generally credited with
the discovery that diastolic
fiber length modifies the
ability of the heart to perform work.
Because Frank (Figure 1) published
his work in 1895,1 almost 20 years
before Starling,2-5 it is often assumed
that the latter simply built upon Frank’s
data and concepts. Chapman and
Wasserman, who translated Frank’s
seminal paper,6 wrote: “… one must
acknowledge the justice in Wezler’s7
recent remark ‘The so-called Law of
the Heart,’ which Starling rediscovered
ten years later [than Frank]… is
implicit in Frank’s work on cardiac
dynamics.’” It can be argued, however,
that although both made significant
contributions, their work represented
steps along a line of research that
had begun decades before...
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