Icons of Cardiology
Carl J. Wiggers and the foundation
of modern cardiology |
It is difficult today to appreciate
the extent to which Carl Wiggers
dominated cardiovascular physiology
during the middle of the
20th century. The impact of his work
far exceeded his individual discoveries,
which were many, but instead
reflected the totality of his research,
most of which was carried out in the
Department of Physiology at Western
Reserve University in Cleveland Ohio.
Wiggers provided a lucid description of
the cardiac cycle, often referred to as
the “Wiggers' Diagram,” that related
changing pressures in the heart and
great vessels, ventricular volume, heart
sounds, and the electrocardiogram.
He was a pioneer in cardiac electrophysiology
who described impulse
propagation through the ventricles,
mechanisms responsible for premature
systoles, the vulnerable period of the
cardiac cycle when the ventricles are
most susceptible to fibrillation, and the
role of cardiac compression and electrical
countershock in reversing ventricular
fibrillation...
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