Double Atrial Sounds and Peripheral Atrial Impulses in a Patient with Complete Heart Block
Authors: JOSEPH M. MERRILL
Journal: Annals of Internal Medicine (1963)

Case Studies1 May 1963Double Atrial Sounds and Peripheral Atrial Impulses in a Patient with Complete Heart BlockJOSEPH M. MERRILL, M.D., RICHARD FRANCE, M.D., F.A.C.P.JOSEPH M. MERRILL, M.D., RICHARD FRANCE, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-5-867 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptStokes was apparently the first to describe atrial sounds (1), and Webster (2) was probably the first to record transmitted waves in the radial pulse. The purpose of the following report is to describe the presence of distinct double atrial sounds and to discuss the nature of atrial impulses recorded over the left radial artery in a patient with heart block.CASE REPORTA 65-year-old man entered Thayer Veterans' Administration Hospital on March 23, 1961, because of extreme "weak spells" and "staggering" that he had experienced during the week before his admission. His local physician had told him that his...References1. STOKES W: Observations on some cases of permanently slow pulse. Dublin Quart. J. Med. Sci. 2: 73, 1846. CrossrefGoogle Scholar2. WEBSTER A: Cardiac arrhythmia in relation to cerebral anemia and epileptiform crises. Glasgow Hosp. Rep. 1901. Google Scholar3. ONGLEYSPRAGUERAPPAPORTNADAS PAHBMBAS: Heart Sounds and Murmurs, Grune & Stratton, Inc., New York, 1960. Google Scholar4. LEWIS T: Lectures on the Heart, P. B. Hoeber, New York, 1915, p. 60. Google Scholar5. RYTAND DA: An auricular diastolic murmur with heart block in elderly patients. Amer. Heart J. 32: 579, 1946. CrossrefMedlineGoogle Scholar6. CHAUVEAUMAREY AEJ: Rapport sur les appareils et experiences cardiographiques. Mem. Acad. Imperiale Med. 28: 602, 1863. Google Scholar7. FRANCOIS-FRANK M: Sur les effects de la systole des oreillettes. Arch. Physiol. 22: 395, 1890. Google Scholar8. HEYMAN F: Transmission of atrial waves to peripheral arteries in complete heart block and atrial flutter in man. Acta Med. Scand. 164: supp. 344, 1959. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Nashville, TennesseeFrom the Thayer Veterans Administration Hospital and the Department of Medicine, Vanderbilt University Medical School, Nashville, Tennessee.Requests for reprints should be addressed to Joseph M. Merrill, M.D., Veterans Administration Hospital, 90 White Bridge Road, Nashville, Tennessee. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByEchocardiographic correlates of atrial contraction in normal and abnormal atrial rhythmHeart Sounds in Patients with Cardiac PacemakersTemporal Alternation of Atrial Flutter SoundsTRANSMISSION OF ATRIAL WAVES TO THE BLOOD VESSELS OF THE DIGITS AND OUTER EAR IN CASES OF ATRIAL FLUTTERAtrial Heart Sounds in Atrial Fibrillation and FluttterPressure Transients Occurring in Diastole in the Central Aorta 1 May 1963Volume 58, Issue 5Page: 867-871KeywordsArteriesHeartHeart rateHospital medicineSystole Issue Published: 1 May 1963 PDF DownloadLoading ...