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(Chest. 1974;66:382-384.)
© 1974 American College of Chest Physicians

Systolic Ejection Sounds in Idiopathic Hypertrophic Subaortic Stenosis

Robert L. DeJoseph M.D.1; Virgil Seibert M.D.1; and Morton E. Tavel M.D., F.C.C.P.1

1 Department of Medicine, Indiana University School of Medicine and the Krannert Institute of Cardiology, Marion County General Hospital, Indianapolis

The occurrence of systolic ejection sounds (SS) in idiopathic hypertrophic subaortic stenosis (IHSS) has been controversial. We examined the graphic studies of 42 patients with proved IHSS. Eight were felt to have early systolic "click-like" sounds. These sounds occurred only at times of significant hemodynamic subaortic obstruction and, in contrast to other ejection sounds, occurred at the time of the first peak of the carotid pulse. We conclude that early systolic sounds occasionally are present in IHSS, but their origin and nature are not similar to ejection sounds in other diseases.

Submitted on February 27, 1974
Accepted on March 12, 1974






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Copyright © 1974 by the American College of Chest Physicians.