Early diastolic heart sounds caused by the atrial kick

Kinan Bachour; Eric Mendez; Samuel Jackson; Gentian Lluri; Henry M Honda

doi:10.1111/anec.13108

Early diastolic heart sounds caused by the atrial kick

Ann Noninvasive Electrocardiol. 2024 Mar;29(2):e13108. doi: 10.1111/anec.13108.

Authors

Kinan Bachour¹, Eric Mendez², Samuel Jackson³, Gentian Lluri³, Henry M Honda³

Affiliations

¹ Department of Medicine, University of California Los Angeles, Los Angeles, California, USA.
² Department of Medicine, University of California San Diego, San Diego, California, USA.
³ Division of Cardiology, Department of Medicine, University of California Los Angeles, Los Angeles, California, USA.

Abstract

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.

Keywords: atrioventricular block; diastolic heart sounds; third heart sound (S3).

Publication types

Case Reports
Review

MeSH terms

Aged, 80 and over
Atrial Fibrillation* / diagnosis
Atrioventricular Block* / diagnosis
Bradycardia
Electrocardiography
Heart Atria
Heart Sounds*
Humans
Male