Early diastolic heart sounds caused by the atrial kick

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 wit...

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Bibliographic Details
Main Authors: Kinan Bachour, Eric Mendez, Samuel Jackson, Gentian Lluri, Henry M. Honda
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Annals of Noninvasive Electrocardiology
Subjects:
Online Access:https://doi.org/10.1111/anec.13108
Description
Summary: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.
ISSN:1082-720X
1542-474X