In the David Michelangelo observed the jugular vein before the Science

There is a detail in Michelangelo's David, escaped 500 years of observations, and confirms the genius of the great sculptor, painter, architect and poet, is able with his 'clinical eye' to advance the science. If many of the sculptures, and in the physiology of everyday people, the jugular vein from the upper part of the torso through the neck is not visible, in fact, in the masterpiece of the Renaissance exhibited in Florence is clearly "lying" and to be raised above the collarbone of David. As would be the case in every young person in health is a level of excitement because it has to deal with an opponent potentially lethal - in this case, Goliath.

it's A detail that indicates how the spirit of observation has led Michelangelo to sculpt something that would have been described in detail 100 years after, that is, the mechanics of the circulatory system. The artist, with his curiosity, it would have been one of the first to observe how it worked this vein. To detect it is an article of Daniel Gelfman, of the Marian University College of Osteopathic Medicine Indianapolis, published in Jama Cardiology. The american doctor, who has seen the statue this year during a visit in Italy was the first to notice this detail. The distension of the jugular vein, as explains the expert can also occur with issues such as "high pressure intracardiache and possible cardiac dysfunctions", but David's young and in excellent physical condition. Only in another context - a state of excitement, temporary - stands out well. "Michelangelo, as some of his contemporaries - he writes Gelfman - he had an anatomical formation. I realized that must have noticed a jugular venous distension temporary in healthy subjects who are excited".

"At the time of the creation of the David - have a look - in 1504, the anatomist and physician William Harvey had not yet described the true mechanics of the circulatory system. It was not until 1628". In Moses there is the same anatomical detail, while the jugular vein of Jesus in Mercy is not the expanse or visible (in this case, anatomically correct in the context). For cardiologists, one of the important messages that come from this article is that physicians must have the spirit of observation when visiting their patients. In today's era of the scans and blood tests, to high technology, says Marcin Kowalski, of Staten Island University Hospital, "always amazes me when medical students are able to diagnose diseases with a simple observation. I hope that the art of physical examination does not disappear from the repertoire of our young doctors".

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