This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (21)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

"Muffing" vs "Last" Sound

SEYMOUR B. LONDON, MD; ROSE E. LONDON, MD

Arch Intern Med. 1967;119(1):39-49.

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

KOROTKOFF¹ proposed the auscultatory method of indirect blood pressure measurement in 1905. His "first" sound has been accepted as the index of systolic pressure. He also pointed out that "at the disappearance of sounds, the manometric figure... corresponds to the minimal pressure." This observation has provoked heated debate, continuing to the present. Staunch adherents of the "last sound" school are vigorously opposed by antagonists supporting "muffling" as the correct index of indirect diastolic end point. The clinical observation of the sudden change in sounds has been proposed by early investigators ^2-7 in the field of indirect blood pressure measurement and defended more recently by Roberts,⁸ Van Bergen,⁹ Moss,¹⁰ and others. Korotkoff's original observations on the other hand have been upheld by a large number of investigators.^11-20 Their opinion probably represents a majority view.

In 1951, the committee of the American Heart Association under the chairmanship of Dr. Carl J. Wiggers²¹ . . . [Full Text PDF of this Article]

Author Affiliations
MIAMI BEACH, FLA

From the Section of Electrophysiology of the Miami Heart Institute and the University of Miami Medical School, Miami Beach, Fla.

Footnotes
Received for publication June 2, 1965; accepted Oct 17,1966.

Reprint requests to 605 Lincoln Road, Miami Beach, Fla.

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