Early diastolic heart sounds caused by the atrial kick.
Kinan BachourEric MendezSamuel JacksonGentian LluriHenry M HondaPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2024)
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.
Keyphrases
- atrial fibrillation
- blood pressure
- left ventricular
- catheter ablation
- heart failure
- chronic kidney disease
- coronary artery disease
- left atrial
- ejection fraction
- oral anticoagulants
- percutaneous coronary intervention
- left atrial appendage
- mental health
- end stage renal disease
- mitral valve
- single cell
- type diabetes
- venous thromboembolism