I. HARRISON TUMPEER, S.M., M.D.
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Registration of gastric and intestinal hyperperistalsis on the electrocardiogram has been reported in a previous study.1 The sources were the gastric activity in a baby with congenital hypertrophic pyloric stenosis and the intestinal contractions in a child with congenital hypertrophic dilatation of the colon (Hirschsprung's disease), and in an elderly adult in whom borborygmi occurred in the course of a routine electrocardiogram. Hyperperistalsis was visible in the first two conditions and audible in the last.
The peristaltic effect upon the electrocardiogram is not even considered in such a review as Esler and White's2 nor is it mentioned in Mortensen's3 study
TUMPEER IH. EFFECTS OF GASTRIC AND INTESTINAL HYPERPERISTALSIS ON THE ELECTROCARDIOGRAM AS DEMONSTRATED BY SIMULTANEOUS MECHANOGRAMS AND INDIRECT AND SEMIDIRECT ELECTRIC LEADS1. Ann Intern Med. ;10:487–494. doi: 10.7326/0003-4819-10-4-487
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Published: Ann Intern Med. 1936;10(4):487-494.
Cardiac Diagnosis and Imaging, Cardiology, Gastroenterology/Hepatology.
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