Abstract

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.Search for more papers by this author, RICHARD FRANCE, M.D., F.A.C.P.Search for more papers by this authorAuthor, 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...

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