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- W2063038122 abstract "Fifty consecutive patients admitted to a coronary care unit with chest pain were followed with serial phonocardiograms. Simultaneous apical phonocardiogram, apexcardiogram, and electrocardiogram were recorded on each patient daily in the unit and weekly during the remaining hospitalization. All 20 patients with documented acute myocardial infarction had atrial gallops on admission. Thirteen had ventricular gallops as well. Seven atrial gallops became atrial components and eight ventricular gallops disappeared during hospitalization. None of 12 patients without evidence of heart disease had either atrial or ventricular gallop. Sixteen of 18 patients with arterioseclerotic heart disease but no acute infarction had atrial gallops and 2 had atrial components. Eighty-five of an additional 87 patients with acute infarction had atrial gallops documented by auscultation and phonocardiogram. The exceptions were a patient with pre-existing mitral stenosis and a patient with left atrial fibrosis on postmortem examination. The absence of an atrial gallop in a patient presenting with chest pain and in sinus rhythm makes the diagnosis of myocardial infarction less likely." @default.
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- W2063038122 date "1969-08-01" @default.
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- W2063038122 title "The diagnostic value of the atrial gallop in acute myocardial infarction" @default.
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- W2063038122 doi "https://doi.org/10.1016/0002-8703(69)90008-8" @default.
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