Electrocardiographic Studies in Clinical and Experimental Pulmonary Embolization

Article1 June 1938ELECTROCARDIOGRAPHIC STUDIES IN CLINICAL AND EXPERIMENTAL PULMONARY EMBOLIZATIONWILLIAM S. LOVE JR., M.D., F.A.C.P., G. W. BRUGLER, M.D., NATHAN WINSLOW, M.D.WILLIAM S. LOVE JR., M.D., F.A.C.P.Search for more papers by this author, G. W. BRUGLER, M.D.Search for more papers by this author, NATHAN WINSLOW, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-11-12-2109 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1935, McGinn and White1 reported certain aberrations in the electrocardiograms derived from five patients suffering with pulmonary embolization. These deviations from normal were as follows:1. Prominent S-wave and low origin of the T-wave in Lead I, the ST segment starting slightly below the baseline.2. Staircase ascent of the ST segment from the S-wave to the T-wave in Lead II.3. The presence of Q3, and inversion of the T-wave in this lead.4. T-waves of opposite sign to normal in the precordial lead.They considered it probable that the electrocardiographic changes consequent on pulmonary embolism were due...References1. MCGINNWHITE SPD: Acute cor pulmonale resulting from pulmonary embolism, Jr. Am. Med. Assoc., 1935, civ, 1473. CrossrefGoogle Scholar2. SCHERFSCHONBRUNNER DE: Über Herzbefindung bei Lungenembolien, Ztschr. f. klin. Med., 1935, cxxviii, 455. Google Scholar3. HAZARDPALMER JBRS: A case of pulmonary embolism simulating coronary thrombosis in a young man aged thirty-three years, Am. Heart Jr., 1936, xii, 748. CrossrefGoogle Scholar4. LOVEBRUGLER WSGW: Electrocardiograms similar to those of coronary thrombosis with especial reference to those obtained in pulmonary infarction, South. Med. Jr., 1937, xxx, 371. CrossrefGoogle Scholar5. 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FROMMEL E: Les troubles du rhythm cardiaque au cours de l'embolie pulmonaire mortelle: Étude électrocardiographique expérimentale, Jr. de physiol. et de path. gén., 1928, xxvi, 247. Google Scholar19. CHURCHILL ED: The mechanism of death in massive pulmonary embolism, Surg., Gynec. and Obst., 1934, lix, 513. Google Scholar20. WOODWOLFERTH FCCC: Experimental coronary occlusion, Arch. Int. Med., 1933, li, 771. CrossrefGoogle Scholar21. HARRISHUSSEY BRR: The electrocardiographic changes following coronary artery ligation in dogs, Am. Heart Jr., 1936, xii, 724. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Received for publication February 23, 1938.From the Department of Medicine, University of Maryland.†Hitchcock Fellow in Medicine, School of Medicine, University of Maryland.‡Deceased. 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