The phonocardiogram and apexcardiogram in patients with ventricular aneurysm

McGinn, Francis X.; Gould, Lawrence; Lyon, Alan F.

doi:10.1016/0002-9149(68)90278-6

Cited by 31 publications

(3 citation statements)

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“…Increase in residual lung volume might result in absence of the apex beat, although this factor was not considered in this study. Furthermore, several studies demonstrated that LV aneurysm produced a larger-than-normal area of pulsation of the LV apex or a sustained systolic bulge [21,22]. In our cohort only two patients had apical dyskinesis, and no patients had apical aneurysm.…”

Section: Discussionmentioning

confidence: 53%

Comprehensive evaluation of the apex beat using 64-slice computed tomography: Impact of left ventricular mass and distance to chest wall

Ehara

Okuyama

Shirai

et al. 2010

Journal of Cardiology

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Section: Discussionmentioning

confidence: 53%

Comprehensive evaluation of the apex beat using 64-slice computed tomography: Impact of left ventricular mass and distance to chest wall

Ehara

Okuyama

Shirai

et al. 2010

Journal of Cardiology

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“…In this latter subject, PCG sensitivity has been increased to better demonstrate the abnormal sounds. This patient also has the extrasystolic bulge (E') usually associated with a ventricular aneurysm16, 21 (and subsequently demonstrated at catheterization). Other abbreviations: S, = first heart sound; S2 = second heart sound; E = systolic ejection point; 0 = opening of mitral valve.…”

Section: Materials and Methods Patient Selectionmentioning

confidence: 78%

Diastolic Heart Sounds and Filling Waves in Coronary Artery Disease

et al. 1971

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SUMMARYOne hundred thirty selected patieints with chest pain syndromes were studied by apex-and phonocardiography as well as by cardiac catheterization, selective cine coronary arteriography, and cine left ventriculography. Ninety-three patients had coronary artery disease; 37 did not. Abnormal graphic studies were found in 42 patients with coronary artery disease and three patients with normal coronary arteriograms. These abnormalities correlated well with the presence of elevated left ventricular enddiastolic pressure. Third heart sounds were found less frequently than fourth heart sounds and/or abnormal apexcardiographic a waves, but when present were usually associated with a depressed cardiac index. Diagnostically, over 90% of all patients with chest pain who exhibited graphic abnormalities had significant coronary atherosclerosis. Normal graphic studies did not rule out coronary artery disease, but did indicate adequate left ventricular function since only 5% of patients with normal graphic studies had elevated left ventricular end-diastolic pressure combined with a low cardiac index.

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“…Fluoroscopy revealed paradoxical pulsation of the aneurysmal region. A tall 'A' wave was recorded on the apex-cardiogram and the ratio of this 'A' wave to the total height of the apexcardiogram tracing, measured from the E point to the 0 point, was 32% (the upper normal limits are considered to be 20%) (McGinn, Gould, and Lyon, 1968). The ejection phase of the curve was distorted by a 'systolic bulging'.…”

Section: Case Reportmentioning

confidence: 99%

Repair of ventricular septal defect and left ventricular aneurysm following myocardial infarction

Schlesinger¹,

Lieberman²,

Landesberg³

et al. 1971

Thorax

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A successful simultaneous surgical repair of rupture of the interventricular septum and left ventricular aneurysm resulting from myocardial infarction is described. Very few similar cases have been described in the literature and in none was angiocardiography performed before operation.Preoperative angiocardiographic examination to demonstrate a ventricular aneurysm is of major importance in all cases of rupture of the interventricular septum following myocardial infarction. The right heart approach with injection of contrast material into the main pulmonary artery is shown to be the method of choice for this purpose.The association of rupture of the interventricular septum with ventricular aneurysm in patients following myocardial infarction is a highly lethal complication. Complete surgical correction of these anomalies may be a life-saving procedure. However, in the reviewed literature there have been only few reported attempts to repair both rupture of the interventricular septum and ventricular aneurysm (Collis, Raison, Mackinnon, and Whittaker, 1962;Taylor, Citron, Robicsek, and Sanger, 1965;Green, Oakley, Davies, and Cleland, 1965;Heimbecker, Chen, Hamilton, and Murray, 1967;Daicoff and Rhodes, 1968;Selzer, Gerbode, and Kerth, 1969;Stinson, Becker, and Shumway, 1969;Limsuwan, Glass, and Jacobs, 1970;Daggett, Burwell, Lawson, and Austen, 1970). Furthermore, in none of the described cases was angiocardiography performed before the operation in order to demonstrate the ventricular aneurysm. The purpose of this paper is: (1) to report our experience of a successful simultaneous surgical repair of rupture of the interventricular septum and left ventricular aneurysm resulting from myocardial infarction in an elderly woman, and (2) to stress the importance and advantages of combining an angiocardiographic examination with preoperative right heart catheterization in such cases. CASE REPORTA 70-year-old woman was admitted to hospital on 18 December, 1969, as an emergency case because of severe chest pains. The clinical diagnosis of acute myocardial infarction was confirmed by high levels of blood enzymes (serum aspartate aminotransferase and lactate dehydrogerase) and electrocardiographic evidence of acute myocardial infarction in the anterior wall. Careful mobilization of the patient was started on 7 January, 1970. On 11 January, severe chest pain reappeared together with sweating and shortness of breath. At that time a pansystolic murmur grade 3/6 with maximal intensity at the lower left sternal border, radiating to the right, was heard for the first time. After that her condition deteriorated markedly and signs and symptoms of left and right heart failure persisted despite intensive treatment with digitalis and diuretics. After failure to improve over a three-month period she was transferred to our ward for further investigations.Her complaints at the time of admission were severe fatigability and shortness of breath even with the mildest physical effort such as dressing and combing her hair. Physical examinati...

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The phonocardiogram and apexcardiogram in patients with ventricular aneurysm

Cited by 31 publications

References 31 publications

Comprehensive evaluation of the apex beat using 64-slice computed tomography: Impact of left ventricular mass and distance to chest wall

Comprehensive evaluation of the apex beat using 64-slice computed tomography: Impact of left ventricular mass and distance to chest wall

Diastolic Heart Sounds and Filling Waves in Coronary Artery Disease

Repair of ventricular septal defect and left ventricular aneurysm following myocardial infarction

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