THE EFFECT OF A SINGLE INSPIRATION IN LEAD III AND A PRECORDIAL LEAD OF THE HUMAN ELECTROCARDIOGRAM
Authors: G L NORRIS, E MASSIE
Journal: Annals of Internal Medicine (1951)

Article1 March 1951THE EFFECT OF A SINGLE INSPIRATION IN LEAD III AND A PRECORDIAL LEAD OF THE HUMAN ELECTROCARDIOGRAMGEORGE L. NORRIS, M.D., EDWARD MASSIE, M.D., F.A.C.P.GEORGE L. NORRIS, M.D.Search for more papers by this author, EDWARD MASSIE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-3-641 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThat respiration changes the contour of the electrocardiogram has been known since Einthoven, Rotherberger, and Winterberg1studied the shifting electrical axis of the heart and found that sympathetic stimulation or vagal paralysis produced changes similar to those at first thought due solely to the mechanical effects of movement of the diaphragm. Wilson2, 3in 1915 reported three cases in which respiration was associated with auriculoventricular dissociation, and one instance in which a partially inverted T3became upright and exaggerated. The same changes were brought about by pressure over the right vagus, and were eliminated by atropine. He emphasized that...Bibliography1. EinthovenRotherbergerWinterberg ; quoted by Woodruff, L. W.: A clinical study of respiratory variations in the form of the electrocardiogram, Am. Heart J. 8: 412, 1933. CrossrefGoogle Scholar2. Wilson FN: A case in which the vagus influenced the form of the ventricular complex of the electrocardiogram, Arch. Int. Med. 16: 1008, 1915. CrossrefGoogle Scholar3. Wilson FN: Three cases showing changes in the location of the cardiac pacemaker associated with respiration, Arch. Int Med. 16: 86, 1915. CrossrefGoogle Scholar4. CohnRaisbeck AEMJ: An investigation of the relation of the position of the heart to the electrocardiogram, Heart 9: 311, 1922. Google Scholar5. ResnikLathrop WHFW: Changes in heart rhythm associated with Cheyne-Stokes respiration, Arch. Int. Med. 36: 229, 1925. CrossrefGoogle Scholar6. MeekWilson WJA: The effect of changes in position of the heart on the QRS complex of the electrocardiogram, Arch. Int. Med. 36: 614, 1925. CrossrefGoogle Scholar7. Doxiades L: Electrocardiogram in newborn before and after beginning of respiration, Abstract, J. A. M. A. 86: 1490, 1926. Google Scholar8. KatzGutmanOcko LNIFH: Alterations in the electrical field produced by changes in the contacts of the heart with the body, Am. J. Physiol. 116: 302, 1936. CrossrefGoogle Scholar9. EdeikenWolferthWood JCCFC: Upright or diphasic T wave in Lead IV as the only definite electrocardiographic abnormality in adults, Am. Heart J. 12: 666, 1936. CrossrefGoogle Scholar10. SorskyWood EP: The use of chest leads in clinical electrocardiography, Am. Heart J. 13: 183, 1937. CrossrefGoogle Scholar11. Master AM: The electrocardiogram and x-ray configuration of the heart, ed. 2, 1939, Lea and Febiger, Philadelphia, pp. 37-53. Google Scholar12. Hernandez AG: Evaluation of electrocardiographic accidents in Lead III during inspiration, Rev. cubana de cardiol. 4: 108, 1943. Google Scholar13. MazerReisinger MJA: Deep Q3 electrocardiograms, criteria for differentiating normal from cardiac subjects, Am. J. M. Sc. 206: 48, 1943. CrossrefGoogle Scholar14. Lyle AM: Further observations on the deep Q3 of the electrocardiogram, Am. Heart J. 28: 199, 1944. CrossrefGoogle Scholar15. Easby MH: Electrocardiogram in four and a half month fetus, Am. Heart J. 10: 1, 1934. CrossrefGoogle Scholar16. Taylor ST: The influences of pneumothorax on electrocardiographic findings, U. S. Vet. Bur. Med. Bull. 5: 850, 1929. Google Scholar17. Otto HL: The effect of sudden increase in the intracardiac pressure upon the T wave of the electrocardiogram, J. Lab. and Clin. Med. 14: 643-645, 1929. Google Scholar18. Woodruff LW: A clinical study of respiratory variations in the form of the electrocardiogram, Am. Heart J. 8: 412, 1933. CrossrefGoogle Scholar19. White PD: Heart disease, ed. 3, 1945, The Macmillan Co., New York, pp. 7, 8. Google Scholar20. Scherf D: Alterations in the form of the T waves with changes in the heart rate, Am. Heart J. 28: 333, 1944. CrossrefGoogle Scholar21. LausonBloomfieldCournand HDRAA: The influence of the respiration on the circulation in man, Am. J. Med. 1: 4, 1946. CrossrefGoogle Scholar22. MillerDent JRRF: A new hypothesis of the production of the T wave in the electrocardiogram based on electrokinetic phenomena, J. Lab. and Clin. Med. 28: 168, 1942. Google Scholar23. BestTaylor CHNB: The physiological basis of medical practice, ed. 3, 1943, Williams and Wilkins, Baltimore, pp. 350, 468, 570. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication March 22, 1949.From the Department of Internal Medicine, Washington University School of Medicine, and the Heart Station, Barnes Hospital, St. Louis, Missouri. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byInverted T waves in the precordial electrocardiogram of normal adolescents 1 March 1951Volume 34, Issue 3Page: 641-654KeywordsAtropineElectrocardiographyHeartHospital medicineParalysisRespirationTriiodothyronine ePublished: 1 December 2008 Issue Published: 1 March 1951 PDF downloadLoading ...