Observations on vascular sounds: the pistol-shot sound and the Korotkoff sound.

نویسندگان

  • R P CARLISLE
  • H H HECHT
  • R L LANGE
چکیده

The similarity between spontaneous "pistol-shot" sounds heard over large vessels and the Korotkoff sounds heard distal to a partially inflated blood pressure cuff suggests that a similar mechanism is responsible for their occurrence. Simultaneous records of intravascular pressures and of the sounds demonstrate that the sounds generally precede the major rise in intravascular pressure. These observations cannot be explained by the existing theories of sound production. A possible mechanism based on rapid changes in flow pattern is advanced. D ESPITE continued interest in the nature of sounds that occur along the course of an artery distal to a segment compressed by an inflated cuff at a pressure between systolic and diastolic (Korotkoff sounds),'-" little consideration has been given to the spontaneously occurring "pistol-shot" sounds heard under certain circumstances over the larger arteries. That these spontaneous vascular sounds may be related to the sounds elicited by the cuff is suggested by the occasional indirect blood pressure recording of 'zero diastolic pressure," which implies that sounds continue to be heard distal to the cuff even when the cuff has been completely deflated. This suggests an imperceptible transition between cuff-induced and spontaneous vascular sounds. Adequate correlation between these sounds, vascular pressures, and flow depends on simultaneous recordings of these events. The following method was employed in order to elucidate the interrelationship of these events.

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عنوان ژورنال:
  • Circulation

دوره 13 6  شماره 

صفحات  -

تاریخ انتشار 1956