JAMES V. WARREN; JAMES J. LEONARD; ARNOLD M. WEISSLER
To many, gallop rhythm presents no problems. It is simply an extra heart sound in diastole heard in patients with actual or incipient congestive heart failure, and is of dire prognostic significance. Unfortunately, there is considerable evidence that the problem is not so simple. On careful study one finds similar diastolic heart sounds in normal persons. Gallop sounds are found in different parts of the diastolic phase, and the prognostic implications differ. With the current interest in more accurate cardiac diagnosis because of the increasing scope of cardiac surgery, the time would appear to be ripe for a reassessment of
WARREN JV, LEONARD JJ, WEISSLER AM. GALLOP RHYTHM1. Ann Intern Med. ;48:580–596. doi: 10.7326/0003-4819-48-3-580
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Published: Ann Intern Med. 1958;48(3):580-596.
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