Gallop rhythm.

Abstract

Article1 March 1958GALLOP RHYTHMJAMES V. WARREN, JAMES J. LEONARD, ARNOLD M. WEISSLERJAMES V. WARRENSearch for more papers by this author, JAMES J. LEONARDSearch for more papers by this author, ARNOLD M. WEISSLERSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-3-580 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo many, gallop rhythm presents no problems. It is simply an extra heart sound in diastole heard in patients with actual or incipient congestive heart failure, and is of dire prognostic significance. Unfortunately, there is considerable evidence that the problem is not so simple. On careful study one finds similar diastolic heart sounds in normal persons. Gallop sounds are found in different parts of the diastolic phase, and the prognostic implications differ. With the current interest in more accurate cardiac diagnosis because of the increasing scope of cardiac surgery, the time would appear to be ripe for a reassessment of...Bibliography1. FletcherMunson HWA: Loudness, its definition, measurement and calculation, J. Acoustical Soc. America 5: 82, 1933. CrossrefGoogle Scholar2. Leatham A: Phonocardiography, Brit. M. Bull. 8: 333, 1952. CrossrefMedlineGoogle Scholar3. Groom D: The effect of background noise on cardiac auscultation, Am. Heart J. 52: 781, 1956. CrossrefMedlineGoogle Scholar4. DockGrandellTaubman WFF: The physiologic third heart sound: its mechanism and relation to protodiastolic gallop, Am. Heart J. 50: 449, 1955. CrossrefMedlineGoogle Scholar5. HendersonJohnson YNE: Two modes of closure of the heart valves, Heart 4: 69, 1912. Google Scholar6. LeonardWeisslerWarren JJAMJV: The modification of ventricular gallop rhythm induced by pooling of blood in the extremities, Brit. Heart J. (to be published). Google Scholar7. 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Author, Article, and Disclosure InformationAffiliations: *Presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 9, 1957.From the Department of Medicine, Duke University School of Medicine, Durham, North Carolina.This research was supported in part by a research grant (H-1217), and a Traineeship (Dr. Leonard) from the National Heart Institute, National Institutes of Health, Public Health Service, and by a research fellowship (Dr. Weissler) from the American Heart Association, and by the United States Air Force through the Air Force Office of Scientific Research of the Air Research and Development Command under contract No. AF18(600) 1542.Requests for reprints should be addressed to James V. Warren, M.D., Duke University School of Medicine, Durham, North Carolina. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Cardiac ExaminationHistory, Growth, Nutrition, Physical Examination, and Routine Laboratory TestsLlama CardiologyHemodynamic correlates of the third heart sound during the evolution of chronic heart failureOrigin of the third heart sound. I. Studies in dogs.Origin of the third heart sound. II. Studies in human subjects.Examination of the heart in supine and left lateral positions.BibliographyLeft ventricular dimensions and dynamics of filling in patients with gallop heart soundsA Study of Mitral Valve Action Recorded by Reflected Ultrasound and Its Application in the Diagnosis of Mitral StenosisGallop rhythmSome unanswered questions concerning enlargement and failure of the heartTHE EFFECT OF POSTURE ON ADDED HEART SOUNDSThe Mechanism of the Generation of the Third and Fourth Heart SoundsTHE THIRD HEART SOUND IN MITRAL REGURGITATIONGallop rhythm of the heartKinetocardiographic tracings as an aid in the differentiation of three-sound rhythmsClinical Significance of Abnormal Heart Sounds 1 March 1958Volume 48, Issue 3Page: 580-596KeywordsCardiac surgeryDiastoleHealth services researchHeartHeart failureLongitudinal studiesMedical servicesPrevention, policy, and public healthResearch grantsStenosis Issue Published: 1 March 1958 PDF downloadLoading ...