"Left Heart Failure" and Atrial Septal Defects.

Abstract

s1 May 1965"Left Heart Failure" and Atrial Septal Defects.Hans H. Hecht, M.D., F.A.C.P., Gerasim Tikoff, M.D., Alexander M. Schmidt, M.D., Hiroshi Kuida, M.D.Hans H. Hecht, M.D., F.A.C.P.Search for more papers by this author, Gerasim Tikoff, M.D.Search for more papers by this author, Alexander M. Schmidt, M.D.Search for more papers by this author, Hiroshi Kuida, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-5-1071_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptComplete clinical, laboratory, and repeated hemodynamic studies were carried out on 38 cases of large atrial septal defect of the secundum type ranging in age from 1 to 71 (mean, 38.6 years). The following observations were made:(1) Heart failure due to right ventricular overload is characterized in this entity by maintenance of normal atrial and normal end ventricular diastolic pressures, decreased right ventricular forward stroke volume, and decrease in left to right, and appearance of right to left shunt.(2) An elevation of common atrial pressure (in the absence of concomitant mitral stenosis) apparently signals left ventricular failure and... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1965Volume 62, Issue 5Page: 1071-1071KeywordsAtrial septal defectBlood pressureClinical laboratoriesHeart failureHemodynamicsMitral stenosisStroke Issue Published: 1 May 1965 PDF downloadLoading ...