This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

William Dressler, MD

JAMA. 1968;205(9):642-643.

Abstract
The precordial heave associated with mitral-valve lesions, and usually attributed to right-ventricular hypertrophy, is most marked in the left parasternal region. When right-ventricular hypertrophy is due to congenital lesions, the peak forward movement shifts from the neighborhood of the sternum to the left precordial area. It is suggested that in the presence of mitral-valve lesions, enlargement of the left atrium forces the right ventricle toward the sternum and thus significantly influences the development and site of the precordial heave.

Author Affiliations
From the Department of Medicine of the Maimonides Hospital Medical Center, Brooklyn, NY.

Footnotes
Reprint requests to 1150 Fifth Ave, New York 10028.

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