Early diastolic heart sounds caused by the atrial kick

Kinan Bachour; Eric Mendez; Samuel Jackson; Gentian Lluri; Henry M. Honda

doi:10.1111/anec.13108

Annals of Noninvasive Electrocardiology (Mar 2024)

Early diastolic heart sounds caused by the atrial kick

Kinan Bachour,
Eric Mendez,
Samuel Jackson,
Gentian Lluri,
Henry M. Honda

Affiliations

Kinan Bachour: Department of Medicine University of California Los Angeles Los Angeles California USA
Eric Mendez: Department of Medicine University of California San Diego San Diego California USA
Samuel Jackson: Division of Cardiology, Department of Medicine University of California Los Angeles Los Angeles California USA
Gentian Lluri: Division of Cardiology, Department of Medicine University of California Los Angeles Los Angeles California USA
Henry M. Honda: Division of Cardiology, Department of Medicine University of California Los Angeles Los Angeles California USA

DOI: https://doi.org/10.1111/anec.13108
Journal volume & issue: Vol. 29, no. 2
pp. n/a – n/a

Abstract

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Abstract An 81‐year‐old male with a history of coronary artery disease, hypertension, paroxysmal atrial fibrillation and chronic kidney disease presents with asymptomatic bradycardia. Examination was notable for an early diastolic heart sound. 12‐lead electrocardiogram revealed sinus bradycardia with a markedly prolonged PR interval and second‐degree atrioventricular block, type I Mobitz. We review the differential diagnosis of early diastolic heart sounds and present a case of Wenckebach associated with a variable early diastolic sound on physical exam.

Published in Annals of Noninvasive Electrocardiology

ISSN: 1082-720X (Print); 1542-474X (Online)
Publisher: Wiley
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://onlinelibrary.wiley.com/journal/1542474x

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Abstract

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