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Temporal Alternation of Atrial Flutter Sounds
Author(s) -
D. Emslie-Smith,
Eldryd Parry
Publication year - 1968
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.37.6.1020
Subject(s) - medicine , atrial flutter , phonocardiogram , cardiology , carotid sinus , atrial fibrillation , electrocardiography , audiology , blood pressure
A case of atrial flutter is reported in which the hearing of "systoles en écho" led to the recognition in the phonocardiogram of a regularly alternating time interval between successive atrial sounds during the ventricular standstill caused by stimulation of the carotid sinus. A possible explanation is proposed involving alternating pathways of atrial excitation.

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