The Clinical Significance of Systolic Retraction of the Apical Impulse.

نویسندگان

  • O W BOICOURT
  • R E NAGLE
  • J P MOUNSEY
چکیده

The clinical significance of systolic retraction of the apical impulse is still a controversial matter today. No general agreement exists as to whether systolic retraction may occur in health, some workers finding it to be the normal pattern in late systole (Eddlemann et al., 1953), others that outward displacement persists throughout systole (Benchimol, Dimond, and Carson, 1961), and still others that either pattern may be present in health (Luisada and Magri, 1952). In constrictive pericarditis and adherent pericardium, on the other hand, systolic retraction of the impulse has long been an accepted physical sign (Broadbent, J. F. H., 1895; Broadbent, W., 1895; Dressler, 1937; McKusick, 1952; Goldberger, 1955). It has also been described in patients with great right heart enlargement and tricuspid incompetence (Dressler, 1937; Luisada and Magri, 1952; Goldberger, 1955; Salazar and Levine, 1962), though this association is probably less generally recognized. In view of the continuing uncertainty about the meaning of systolic retraction of the cardiac impulse, we have attempted in this paper to reassess its clinical significance in health and disease.

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عنوان ژورنال:
  • British heart journal

دوره 27  شماره 

صفحات  -

تاریخ انتشار 1965