JOSEPH M. MERRILL, M.D.; RICHARD FRANCE, M.D., F.A.C.P.
Stokes was apparently the first to describe atrial sounds (1), and Webster (2) was probably the first to record transmitted waves in the radial pulse. The purpose of the following report is to describe the presence of distinct double atrial sounds and to discuss the nature of atrial impulses recorded over the left radial artery in a patient with heart block.
A 65-year-old man entered Thayer Veterans' Administration Hospital on March 23, 1961, because of extreme "weak spells" and "staggering" that he had experienced during the week before his admission. His local physician had told him that his
MERRILL JM, FRANCE R. Double Atrial Sounds and Peripheral Atrial Impulses in a Patient with Complete Heart Block. Ann Intern Med. ;58:867–871. doi: 10.7326/0003-4819-58-5-867
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Published: Ann Intern Med. 1963;58(5):867-871.
Cardiology, Rhythm Disorders and Devices.
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