Ventricular aneurysms of the heart : preliminary report on some new clinical signs

Abstract

In the course of investigation of twenty proved cases of ventricular aneurysm of the heart, the following clinical signs, hitherto undescribed in the literature, were discovered, namely, (1) an anomalous location of the cardiac impulse (50 per cent of cases), (2) a myotonic cardiac impulse (65 per cent), (3) a double thrust or reduplicated impulse (20 per cent), (4) a wavy impulse or cardiac shudder (30 per cent), (5) a heaving left costal margin, (6) stony dullness over the precordium, and (7) a loud and long, musical or "cooing" systolic-diastolic murmur. These signs are briefly described with a veiw to stimulate further inquiry into the matter.