Systole and Diastole, Strength and Openness

Author/s: 
Farrell, C.M.
Date Added: 
June 10, 2019
Journal/Publication: 
JAMA
Publication Date: 
May 21, 2019
Issue: 
19
Volume: 
321
Pages: 
1871-1872
Type: 
Notifications and Opportunities
DOI (1): 
10.1001/jama.2019.5650

RPR Commentary

This short article is worth reading.  It compares diastolic heart failure to the psychological impact of the pressures of training and practice.  Very clever and poignant.  James W. Mold, MD, MPH

Abstract

Seize diastole,” my medical school professor said. The words were a clever metaphor for a life well lived. During systole, the powerful myocardium contracts, generating pressure that propels open the aortic valve. Blood flows out into the circulation.

Diastole, the process of letting go and filling up, is not as exciting. It could even be taken for granted, cut shorter and shorter. But without adequate time for diastole, there’s no blood to be thrust forward. Homeostasis crumbles. Just as the myocardium needs time to release and refill, so does the soul...

 

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