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Circulation. 1967;35:492-500

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(Circulation. 1967;35:492.)
© 1967 American Heart Association, Inc.

The Precordial Movements in Adults with Pulmonic Stenosis

JOHN H. HOLT JR. M.D.1 E. E. EDDLEMAN JR. M.D.1

1 From the Department of Medicine, University of Alabama School of Medicine, and the Veterans Administration Hospital, Birmingham, Alabama.

The precordial movements were studied in 24 adults with pulmonic stenosis. All patients were studied by cardiac catheterization. Normal kinetocardiographic criteria were applied to the patients with pulmonic stenosis. These provided a measure of the magnitude of atrial movements and relative amplitude and duration of movements associated with ventricular systole. Twenty-two patients had abnormal ventricular systolic movements by these criteria. These increased systolic movements are attributed to right ventricular overload. However, the location of these movements was frequently in areas generally considered as reflecting left ventricular activity. Possible explanations for this apparent paradox are discussed. There was a predictable relation between the motions associated with atrial contraction and the right ventricular pressure.


Key Words: Apex cardiography • Arterial oxygen saturation • Palpation • Kinetocardiography • Right ventricular function • Systemic hypertension • Cardiac position




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W. Dressler
Precordial Heave on the Right Related to Left-Atrial Enlargement
JAMA, August 26, 1968; 205(9): 642 - 643.
[Abstract] [PDF]


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