Clinical Disorders of the Heartbeat a Handbook for Practitioners And Students

Cover Clinical Disorders of the Heartbeat a Handbook for Practitioners And Students
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Single dropped beats are not difficult to detect. Take the case of a pulse, which though it seems otherwise regular, is interrupted by an occasional pause of unusual length, while examination of the apex beat reveals neither movement nor sound in the pause. If the pause is not associated regularly with the expiratory phase of respiration (see page 12) it can be attributed to a failure of the customary response of ventricle ta auricle. The length of the pause in radial tracings may be exactly eq
...uivalent to that of two rhythmic beats. More frequently (as in the radial pulse tracing of Fig. 14) it is Fig. 14. A pulse curve showing " dropped beats. " The arrows, which represent the positions of the regular auricular contractions, have been accurately determined in this and subsequent figures by means of poly- graphic curves. There is, of course, a big delay between the auricular systole and the pulse beat. The heart sounds are shown diagrammatically. The arrangement of the pulse beats depends upon the lengths of the As- Vs intervals and upon the failure of response at the points marked by asterisks.

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