No one knew how our blood moved—until this doctor realized the heart is a pump

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No one knew how our blood moved—until this doctor realized the heart is a pump
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In 'The Wine-Dark Sea Within,' cardiologist Dhun Sethna describes a 17th-century insight that revolutionized medicine.

by Dhun Sethna. Copyright © 2022. Available from Basic Books, an imprint of Hachette Book Group, Inc.

Blood circulation, as is now understood, is a double system. There is a circuit through the body as well as one through the lungs . Each circuit is spoken of as a circulation because the circle is a symbol that ends at the point at which it begins. The historical unraveling of each circulation is a theme of this book. The heart, too, is in reality an assembly of two hearts that work in harmony at two different tasks.

The correct analysis of the heart’s motion as a mechanical pump, and only as a pump, that ejected blood into the vessels at each contraction was a central innovation essential to his scheme. Aspects of today’s therapies, such as intravenous infusions or subcutaneous injections , even nasal sprays for allergy, could only have been conceived after it was understood that substances introduced into the bloodstream at one site, or even breathed in, are transported to any and every other site because the blood circulates.

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