Hans H. Hecht, M.D., F.A.C.P.; Gerasim Tikoff, M.D.; Alexander M. Schmidt, M.D.; Hiroshi Kuida, M.D.
This content is PDF only. Please click on the PDF icon to access.
Complete 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
Hecht HH, Tikoff G, Schmidt AM, Kuida H. "Left Heart Failure" and Atrial Septal Defects.. Ann Intern Med. 1965;62:1071. doi: 10.7326/0003-4819-62-5-1071_2
Download citation file:
Published: Ann Intern Med. 1965;62(5):1071.
Cardiology, Heart Failure.
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use