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Parker E, Craige E, Hood WP. The Austin Flint murmur and the a wave of the apexcardiogram in aortic regurgitation. Circulation 1971; 43:349-59. [PMID: 5101737 DOI: 10.1161/01.cir.43.3.349] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Hemodynamic data from 45 patients with either aortic regurgitation (with and without the Austin Flint murmur) or aortic regurgitation and mitral stenosis were correlated with the
a
-wave percentage amplitude of the apexcardiogram. Changes in the
a
wave correlated well with corresponding changes in left heart pressures but not with variations in volume. Of 15 patients in whom the ratio of the
a
wave to the total excursion during systole (
a
/H ratio) was [See Equation in PDF file]13%, 11 had left ventricular end-diastolic pressures (LVEDP) >20 mm Hg. All patients with
a
/H ratios >15% had abnormal LVEDP. The converse was not true; 13 patients had elevated LVEDP with normal
a
/H ratios. Patients with aortic regurgitation and mitral stenosis had
a
/H ratios similar to those of normal subjects.
The Flint murmur showed a significant correlation with left ventricular volume changes. Its presence was valuable in prediction of a large regurgitant volume and a high left ventricular stroke volume. It was also present in association with elevated left atrial mean pressure and elevated LVEDP.
Thus, two ancillary findings in aortic regurgitation, a high
a
wave in the apexcardiogram and the Austin Flint murmur, are of value in anticipating alterations in left ventricular hemodynamics as determined by left-sided catheterization and volume studies.
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Spodick DH, Kumar S. Left ventricular ejection period. Measurement by atraumatic techniques: results in normal young men and comparison of methods of calculation. Am Heart J 1968; 76:70-3. [PMID: 5659278 DOI: 10.1016/0002-8703(68)90296-2] [Citation(s) in RCA: 40] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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van Vollenhoven E, Wallenburg J, van Rotterdam A, van Straaten J. Calibration of contact microphones for phonocardiography. MEDICAL & BIOLOGICAL ENGINEERING 1968; 6:71-82. [PMID: 5640037 DOI: 10.1007/bf02478802] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Oreshkov VI. Q-1 or C-1 interval in the diagnosis of mitral stenosis. BRITISH HEART JOURNAL 1967; 29:778-82. [PMID: 6039176 PMCID: PMC459192 DOI: 10.1136/hrt.29.5.778] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Abstract
A method has been devised for calibrating and measuring aspects of displacement records of cardiac movement. Forty-five normal subjects have been studied using this method, and a normal range has been calculated for the heights of the a wave, systolic outward movement, rapid-filling wave, and the ratio of rapid-filling wave to duration. The consistency of the results obtained and factors producing variations are discussed.
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Fleming JW. Carotid artery and precordial pulsation recordings with the standard direct-writer electrocardiograph. Technical considerations. Am J Cardiol 1966; 17:707-17. [PMID: 5934990 DOI: 10.1016/0002-9149(66)90410-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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