Affiliation:
1. From the Divisions of Cardiovascular Research and Cardiology (Medicine), The Chicago Medical School, and the Division of Cardiology (Medicine), Mount Sinai Hospital Medical Center, Chicago, Illinois.
Abstract
A clinical, electrocardiographic, phonocardiographic, and arteriographic study was made of 20 normal subjects, 20 patients with right bundle-branch block (RBBB) and 20 patients with left bundle-branch block (LBBB). Ventricular asynchronism was documented in nearly all cases of bundle-branch block by the behavior of the arterial pulse and the heart sounds. The first heart sound was of normal duration in all cases and usually had the normal number and position of its three components. The first sound had a normal relationship with the QRS component of the electrocardiogram in RBBB, but its onset was markedly delayed in LBBB. This fact confirms the exclusive left-sided origin of the first sound. The third (or ejection) component of the first sound had a greater delay in LBBB, due to intraventricular block, and this delay was closely related to that of the carotid pulse rise. Reversed splitting of the second sound in LBBB was common.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Physiology (medical),Cardiology and Cardiovascular Medicine
Reference26 articles.
1. The clinical recognition and physical signs of bundle-branch block
2. THE NATURE OF THE PHYSICAL SIGNS OF BUNDLE-BRANCH BLOCK
3. Cossio P. BRAUN-MENENDEZ E. AND ORIAS O.: Quoted by Calo 7 p. 246.
4. LAUBRY C. AND PEZZI C.: Quoted by Calo 7 p. 246.
5. LEWIS J. K.: Quoted by Calo 7 p. 246.
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