Gould, Lawrence; Umali, Franlina; Gomprecht, Robert F.
October 1972
Angiology;Oct1972, Vol. 23 Issue 9, p549
Academic Journal
The presystolic gallop is usually present in acute myocardial infarction. The eventual fate of this gallop is not well established. Therefore 20 patients admitted to the coronary care unit with chest pain and a subsequently documented myocardial infarction were followed with serial phonocardiograms and electrocardiograms. These were recorded daily in the unit and weekly during the remaining hospitalization. All of the patients had presystolic gallops on admission. Two patients had a protodiastolic gallop as well. Sixteen of the presystolic gallops and the 2 protodiastolic gallops disappeared during the hospitalization. The presystolic gallop disappeared in the third and fourth week in 14 of the patients. The patients with the absent presystolic gallop were subsequently fluoroscoped, and only 1 of the 16 patients had a ventricular aneurysm. However, the 4 patients with a persistent presystolic gallop had a ventricular aneurysm on fluoroscopy. A presystolic gallop is indeed present in virtually all patients with a myocardial infarction. However it is short lived in the majority of patients. Its persistence suggests the possibility of a ventricular aneurysm if the patient is not in congestive heart failure.


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