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Willem
Einthoven
was born on May 21, 1860, in Semarang on the island of Java, in the former
Dutch East Indies (now Indonesia). His father was Jacob Einthoven, born
and educated in Groningen, The Netherlands, an army medical offcer in
the Indies, who later became parish doctor in Semarang. His mother was
Louise M.M.C. de Vogel, daughter of the then Director of Finance in the
Indies. Willem was the eldest son, and the third child in a family of
three daughters and three sons.
At the age of ten, Einthoven lost his father, and his mother decided to
return with her six children to Holland, where the family settled in Utrecht.
After having passed the "Hogere Burgerschool" (secondary school), he in
1878 entered the University ofUtrecht as a medical student, intending
to follow in his father's footsteps. His exceptional abilities, however,
began to develop in quite a different direction. After being assistant
to the ophthalmologist H. Snellen Sr. in the renowned eye-hospital "Gasthuis
voor Ooglidders", he made two investigations, both of which attracted
widespread interest. The first was carried out after Einthoven had gained
his "candidaat" diploma (approximately equivalent to the B.Sc. degree),
under the direction of the anatomist W. Koster, and was entitled "Quelques
remarques sur le mécanisme de l'articulation du coude" (Some remarks on
the elbow joint). Later he worked in close association with the great
physiologist F.C. Donders, under whose guidance he undertook his second
study, which was published in 1885 as his doctor's thesis: "Stereoscopie
door kleurverschil." (Stereoscopy by means of colour variation) - one
of Einthoven's teachers was the physicist C.H.D. Buys Ballot, who discovered
the well-known law in meteorology.
That same year, 1885, he was appointed successor to A. Heynsius, Professor
of Physiology at the University of Leiden, which he took up after having
qualified as general practitioner in January, 1886. His inaugural address
was entitled "De leer der specifieke energieen" (The theory of specific
energies). His first important research in Leiden was published in 1892:
"Über die Wirkung der Bronchialmuskeln nach einer neuen Methode untersucht,
und über Asthma nervosum" (On the function of the bronchial muscles investigated
by a new method, and on nervous asthma), a study of great merit, mentioned
as "a great work" in Nagel's "Handbuch der Physiologie". At that time
he also began research into optics, the study of which occupied him ever
since. Some publications in this field were: "Eine einfache physiologische
Erklärung für verschiedene geometrisch-optische Täuschungen"
(A simple physiological explanation for various geometric-optical illusions
) in 1898; "Die Accomodation des menschlichen Auges" (The accomodation
of the human eye) in 1902; "The form and magnitude of the electric response
of the eye to stimulation by light at various intensities", with W.A.
Jolly in 1908.
Up till now, his talents had not yet been developed to the full. This
opportunity came when he began the task of registering accurately the
heart sounds, using a capillary electrometer. With this in view, he investigated
the theoretical principles of this instrument, and devised methods of
obtaining the necessary stability, and of correcting mathematically the
errors in the photographically registered results due to the inertia of
the instrument. Having found these methods he decided to carry out a thorough
analysis of A.D. Waller's electrocardiogram - a study which has remained
classic in its field.
This investigation led Einthoven to intensify his research. To avoid complex
mathematical corrections, he finally devised the string galvanometer which
did not involve these calculations. Although the principle in itself was
obvious, and practical applications of it were made in other fields of
study, the instrument had to be precisioned and refined to make it usable
for physiologists, and this took three years of laborious work. As a result
of this, a galvanometer was produced which could be used in medical science
as well as in technology; an instrument which was incomparable in its
adaptability and speed of adjustment.
He then, with P. Battaerd, took up the study of the heart sounds, followed
by research into the retina currents with W.A. Jolly (begun earlier with
H. K. de Haas). The electrocardiogram itself he studied in all its aspects
with numerous pupils and with visiting scientists. It was this last research
which earned him the Nobel Prize in Physiology or Medicine for 1924. In
addition to this the string galvanometer has proved of the highest value
for the study of the periphery and sympathetic nerves.
In the remaining years of his life, problems of acoustics and capacity
studies came within the sphere of his interests. The construction of the
string phonograph (1923) could be considered as a consequence of this.
Einthoven possessed the gift of being able to devote himself entirely
to a particular field of study. (His genius was actually more orientated
towards physics than physiology.) As a result he was able to make penetrating
inquiries into almost any subject which came within the scope of his interests,
and to carry out his work to its logical conclusion.
Einthoven was a great believer in physical education. In his student days
he was a keen sportsman, repeatedly urging his comrades "not to let the
body perish". (He was President of the Gymnastics and Fencing Union, and
was one of the founders of the Utrecht Student Rowing Club.) His first
study on the elbow joint resulted from a broken wrist suffered while pursuing
one of his favourite sports, and during the somewhat involuntary confinement
his interest was awakened in the pro- and supination movements ofthe hand
and the functions of the shoulder and elbow joints.
The string galvanometer has led countless investigators to study the functions
and diseases of the heart muscle. The laboratory at Leiden became a place
of pilgrimage, visited by scientists from all over the world. For this,
suffering mankind has much to owe to Einthoven. In electrocardiography
the string galvanometer is the most reliable tool. Although it has been
superseded by portable types and by models utilizing amplification techniques
used in radio communication (Einthoven has always mistrusted the use of
condensers, fearing the distortion of curves), cardiograms from the string
galvanometer have remained the standard of reference in numerous cases
to this day.
Einthoven was a member of the Dutch Royal Academy of Sciences, the meetings
of which he hardly ever missed. He frequently took part in the debates
himself, and his sharp criticism frequently found weaknesses in many a
lecture.
Einthoven married in 1886 Frédérique Jeanne Louise de Vogel, a cousin,
and sister of Dr. W.Th. de Vogel, former Director of the Dienst der Volksgezondheid
(Public Health Service) in the Dutch East Indies. There were four children:
Augusta (b. 1887), who was married to R. Clevering, an engineer; Louise
(b. 1889), married to J.A.R. Terlet, pastor emeritus; Willem (1893-1944)
- a brilliant electro-technical engineer who was responsible for the development
of the vacuum model of the string galvanometer and for its use in wireless
communication, and who was Director of the Radio Laboratory in Bandung,
Java; and Johanna (b. 1897), a physician.
He died on the 28th of September, 1927, after long suffering.
From
Nobel Lectures, Physiology or Medicine 1922-1941.
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