This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (5)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

ALEXANDER F. GOLEY, M.D.; ROBERT SCHWARTZ, M.D.

AMA Arch Intern Med. 1958;101(3):577-581.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Electrical alternans is a regularly occurring variation in amplitude configuration, or direction of one or more of the components of the electrocardiogram. Those components which represent ventricular activity are most frequently involved, while P-wave alternation is unusual.^1,7,11,12,17 Alternation of the QRS and T complexes may occur alone or in combination with each other. This electrocardiographic abnormality is apparently rare. Hamburger, Katz, and Saphir⁷ saw only one example of it in 10,000 electrocardiograms; Feldman⁵ observed one instance in over 6000 electrocardiograms.

The following is a report of electrical alternans occurring in association with cardiac tamponade secondary to malignant involvement of the pericardium.

Report of a Case

A 34-year-old railroad worker was admitted to the Grace-New Haven Community Hospital on Jan. 22, 1957, because of an episode of syncope.

He was apparently well until three months prior to admission, when he consulted his physician because of a dull boring . . . [Full Text PDF of this Article]

Author Affiliations
New Haven, Conn.

Intern in Medicine (Dr. Goley) and Assistant Resident in Medicine (Dr. Schwartz), Grace-New Haven Community Hospital.

Footnotes
Submitted for publication June 17, 1957.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?