Interatrial Septal Defect

Roesler, H.

doi:10.1001/archinte.1934.00160150026003

Cited by 128 publications

(15 citation statements)

References 22 publications

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“…It was Roesler (1934) who first emphasized the fact that a well circumscribed powerful thrust at the apex beat in the presence of gross right ventricular dominance was not only characteristic of atrial septal defect, but occurred in no other condition. We observed this type of cardiac impulse in several of our cases, and have come to regard it as evidence of a hyperkinetic right ventricle-a vigorously acting chamber with a greatly increased stroke volume.…”

Section: Clinical Featuresmentioning

confidence: 99%

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ATRIAL SEPTAL DEFECT: With special reference to the Electrocardiogram, the Pulmonary Artery Pressure and the Second Heart Sound

Barber¹,

Magidson²,

Wood³

1950

Heart

126

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Section: Clinical Featuresmentioning

confidence: 99%

“…The value of the electrocardiogram in A.S.D. has received increasing emphasis since Roesler's (1934) review. He had available only 7 electrocardiographic records from 62 cases.…”

mentioning

confidence: 99%

ATRIAL SEPTAL DEFECT: With special reference to the Electrocardiogram, the Pulmonary Artery Pressure and the Second Heart Sound

Barber¹,

Magidson²,

Wood³

1950

Heart

126

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“…The reported average age of death in patients with atrial septal defect ranges from 36 years (Roesler, 1934) to 49 years (Cosby and Griffith, 1949).…”

Section: Discussionmentioning

confidence: 99%

Results of surgery for atrial septal defect in patients of 40 years and over

Knight

Lennox

1972

Thorax

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“…Enlargement of the heart is frequently noted in interauricular septal defect. For example, Roesler (1934) reported the case of a girl, aged 14, with a heart weighing 800 g., while Bedford, Papp, and Parkinson (1941) included in their series of 52 cases the case of a woman, aged 36, with a heart weighing 930 g., although this was associated with rheumatic heart disease and mitral stenosis. The enlargement and hypertrophy in such cases involves the right side of the heart, the left auricle and ventricle appearing sometimes almost as appendages.…”

Section: Notes Of Second Casementioning

confidence: 99%

Extreme cardiac hypertrophy: Report of two cases with aortic hypoplasia and endocrine disorders

1944

American Heart Journal

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Cardiac hypertrophy exceeding 1000 grams in weight is rare. Golden and Brams (1937) could only find 37 cases recorded, excluding the 9 that they themselves reported. They did not include in their survey the cases occurring in acromegaly, to which Courville and Mason (1938) drew attention. In the two cases here reported the hearts weighed 1350 and 900 grams respectively and were associated with aortic hypoplasia and disorders of the endocrine system, one having diabetes mellitus, the other an interauricular septal defect and acromegaly. NOTES OF FIRST CASEThis man had suffered with chronic nasal infection for many years and in 1935 he underwent drainage of the left frontal sinus. In 1936, when 28 years old, he began to lose weight and to be extremely thirsty; diabetes mellitus was diagnosed. He was treated with 60 units of soluble insulin and a diet containing 90 g. of carbohydrate daily.He first attended the diabetic clinic of the Birmingham United Hospital in November, 1937.The same dietary and insulin regime was continued. Physical examination at that time showed a wellbuilt man, 5 ft. 10 in. tall and 141 lb. in weight. The heart was enlarged and there was a systolic murmur and thrill of moderate intensity, just internal to the apex beat. The rhythm was regular at a rate of 80-85 beats a minute and the blood pressure varied between 100/70 and 120/80. At the diabetic clinic his blood sugar rose to between 300 and 400 mg. per 100 c.c. after lunch, but in spite of this he felt well and was able to do heavy work as a foundry worker. Six months later, however, on the same dosage of insulin and diet he began to have frequent hypoglycxmic attacks and for the next six months he was stabilized with 30 units daily, but then the blood sugar levels again climbed to between 300-400 mg. per 100 c.c. with no obvious change in the patient's well being. In 1938 he was admitted to hospital on account of hypoglycaemic coma, and careful examination at that time suggested a diagnosis of interventricular septal defect. The electrocardiogram showed a normal P-R interval, marked left axis deviation, and inverted T waves in leads I and II. Radioscopy showed the transverse measurement of the heart was 16 5 cm., with a chest diameter of 29 5 cm. (Fig. 1). Physical examination did not show any change and the blood pressure still remained at the same level.In July, 1940, he was again admitted for investigation. He was then complaining of marked weakness and inability to work over the previous five weeks. He had noted, also, profuse sweating even when at rest and some breathlessness and palpitations on exertion. Again, physical examination was essentially as before, his Wasserman was negative, while his basal metabolic rate was +28 per cent with a basal pulse rate of 88.At this time he was taking 150 g. of carbohydrate and 25 units of soluble insulin twice a day. He was treated with rest in bed and improved rapidly. After this he gave up his job as a foundry worker and took on that of a bread salesman. In January, 1941, he was admitted w...

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Interatrial Septal Defect

Cited by 128 publications

References 22 publications

ATRIAL SEPTAL DEFECT: With special reference to the Electrocardiogram, the Pulmonary Artery Pressure and the Second Heart Sound

ATRIAL SEPTAL DEFECT: With special reference to the Electrocardiogram, the Pulmonary Artery Pressure and the Second Heart Sound

Results of surgery for atrial septal defect in patients of 40 years and over

Extreme cardiac hypertrophy: Report of two cases with aortic hypoplasia and endocrine disorders

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