James C. Hurlburt, M.D.; Charles E. Rackley, M.D.; Charles W. Harris, M.D.; Walter L. Floyd, M.D.; Edward S. Orgain, M.D., F.A.C.P.
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A new technique, utilizing a hydrogen-sensitive, platinum-tipped wire electrode introduced percutaneously by a no. 18 Cournand needle into the brachial vein and flow directed into the right heart chambers and pulmonary artery, has greatly simplified the detection of left-to-right intracardiac shunts. The electrode position is identified by intracavitary electrocardiographic monitoring. Electrical potential, created by contact of inhaled hydrogen with the platinum tip produces characteristic electrocardiographic deflections when left-to-right shunts are present.
Catheterizations in 182 patients have yielded 86 positive, 115 negative and 3 equivocal shunt curves. Fifty-three instances (45 positive and 8 negative) have been confirmed by cardiac catheterization and
Hurlburt JC, Rackley CE, Harris CW, et al. The Practical Application of the Hydrogen Sensitive Platinum Tipped Electrode in the Diagnosis of Left-to-Right Shunts.. Ann Intern Med. 1965;63:906. doi: https://doi.org/10.7326/0003-4819-63-5-906_2
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Published: Ann Intern Med. 1965;63(5):906.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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