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ARTICLE |

Precordial Heave on the Right Related to Left-Atrial Enlargement FREE

William Dressler, MD
[+] Author Affiliations

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JAMA. 1968;205(9):642-643. doi:10.1001/jama.1968.03140350052014
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The precordial heave associated with mitral-valve lesions, and usually attributed to right-ventricular hypertrophy, is most marked in the left parasternal region. When right-ventricular hypertrophy is due to congenital lesions, the peak forward movement shifts from the neighborhood of the sternum to the left precordial area. It is suggested that in the presence of mitral-valve lesions, enlargement of the left atrium forces the right ventricle toward the sternum and thus significantly influences the development and site of the precordial heave.

REFERENCES

Eddleman, E.E., Jr.: " The Kinetocardiogram: Ultra-Low-Frequency Precordial Movements ," in Cardiology , A. A. Luisada (ed.), New York: McGraw-Hill Book Co., Inc., 1962;, pp 3-63.
Dressler, W., and Roesler, H.:  Vorhofseptumdefect kombiniert mit Mitralstenose and aurikulaerem Leberpuls , Z Klin Med 112:421-436, 1930;.
 Case 32-1963, Case Records of the Massachusetts General Hospital , New Eng J Med 268:1074-1081 ( (May 9) ) 1963;.
Diseases of the Heart and Blood Vessels: Nomenclature and Criteria for Diagnosis , The Criteria Committee of the New York Heart Association, ed 6, Boston: Little, Brown & Co., 1964;, p 86.
Holt, J.H., and Eddleman, E.E., Jr.:  The Precordial Movement in Adults With Pulmonic Stenosis , Circulation 35:492-500 ( (March) ) 1967;.
Dressler, W.:  Pulsations of the Wall of the Chest , Arch Intern Med 60:225-239 ( (Aug) ) 1937;.
Dressler, W.:  Cardiac Diagnosis Without Laboratory Aid: Pulsation and Percussion Signs , Med Clin N Amer 34:721-733 ( (May) ) 1950;.
Dressler, W.:  Pulsations of the Chest Wall as Diagnostic Signs , Mod Conc Cardiovasc Dis 26:421-424 ( (Nov) ) 1957;.
Rushmer, R.F.: Cardiovascular Dynamics , ed 2, Philadelphia: W. B. Saunders Co., 1961;, pp 369, 370.
Overly, H.R.; Vogel, J.H.K.; and Blount, S.G.:  Adaptation of the Right Ventricle to Increased Pressure Loads , Cardiol Dig 2:29-33 ( (Nov) ) 1967;.
Dotter, C.F., and Steinberg, I.: Angiocardiography , New York: Paul B. Hoeber, Inc., 1951;, p 129.
Holt, E.:  Deformity of the Chest Wall Associated With Extreme Dilatation on the Left Auricle , Amer Heart J 9:363-369 ( (Feb) ) 1934;.
Manchester, G.H.; Block, P.; and Gorlin, R.:  Misleading Signs in Mitral Insufficiency , JAMA 191:87-88 ( (Jan 11) ) 1965;.

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Eddleman, E.E., Jr.: " The Kinetocardiogram: Ultra-Low-Frequency Precordial Movements ," in Cardiology , A. A. Luisada (ed.), New York: McGraw-Hill Book Co., Inc., 1962;, pp 3-63.
Dressler, W., and Roesler, H.:  Vorhofseptumdefect kombiniert mit Mitralstenose and aurikulaerem Leberpuls , Z Klin Med 112:421-436, 1930;.
 Case 32-1963, Case Records of the Massachusetts General Hospital , New Eng J Med 268:1074-1081 ( (May 9) ) 1963;.
Diseases of the Heart and Blood Vessels: Nomenclature and Criteria for Diagnosis , The Criteria Committee of the New York Heart Association, ed 6, Boston: Little, Brown & Co., 1964;, p 86.
Holt, J.H., and Eddleman, E.E., Jr.:  The Precordial Movement in Adults With Pulmonic Stenosis , Circulation 35:492-500 ( (March) ) 1967;.
Dressler, W.:  Pulsations of the Wall of the Chest , Arch Intern Med 60:225-239 ( (Aug) ) 1937;.
Dressler, W.:  Cardiac Diagnosis Without Laboratory Aid: Pulsation and Percussion Signs , Med Clin N Amer 34:721-733 ( (May) ) 1950;.
Dressler, W.:  Pulsations of the Chest Wall as Diagnostic Signs , Mod Conc Cardiovasc Dis 26:421-424 ( (Nov) ) 1957;.
Rushmer, R.F.: Cardiovascular Dynamics , ed 2, Philadelphia: W. B. Saunders Co., 1961;, pp 369, 370.
Overly, H.R.; Vogel, J.H.K.; and Blount, S.G.:  Adaptation of the Right Ventricle to Increased Pressure Loads , Cardiol Dig 2:29-33 ( (Nov) ) 1967;.
Dotter, C.F., and Steinberg, I.: Angiocardiography , New York: Paul B. Hoeber, Inc., 1951;, p 129.
Holt, E.:  Deformity of the Chest Wall Associated With Extreme Dilatation on the Left Auricle , Amer Heart J 9:363-369 ( (Feb) ) 1934;.
Manchester, G.H.; Block, P.; and Gorlin, R.:  Misleading Signs in Mitral Insufficiency , JAMA 191:87-88 ( (Jan 11) ) 1965;.
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