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IV. PULSATIONS ASSOCIATED WITH ADHESIVE PERICARDIAL DISEASE

WILHELM DRESSLER, M.D.

Arch Intern Med. 1937;60(4):654-662.

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

Since the time of Skoda,¹ three pulsatory findings have been considered to be essential for the diagnosis of adhesive pericardial disease. They are: the systolic depression over the cardiac area; the diastolic cardiac thrust and the absence of the apical thrust.

Adhesions betwen the heart and the pericardium, particularly along their caudal aspect, inhibit greatly the change in shape which during systole would lead to elevation of the heart and with it to a thrust of the apical portion against the thoracic wall. Hence the apical thrust is usually absent in adhesive pericardial disease. This diagnostic finding, however, should not be evaluated too highly, because the apical thrust is often absent in the adult and, in addition to adhesive pericardial disease, there are a good number of other factors capable of diminishing or abolishing the apical thrust. Bamberger² has already pointed out and my colleagues and I have . . . [Full Text PDF of this Article]

Author Affiliations
VIENNA, AUSTRIA

From the Herzstation, Dr. Hans Horst Meyer and Dr. Emil Zak, directors.

Footnotes
Translated by Hugo Roesler, M.D., Philadelphia.

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