Systolic triple rhythms

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      • 1.
        1. The records of sixty-four cases of systolic triple rhythm have been reviewed. The presence or absence of cardiovascular disease and the various characteristics of these sounds were evaluated.
      • 2.
        2. Systolic triple rhythms are probably more frequently present than generally suspected and may be heard in a wide variety of cardiac and extracardiac diseases.
      • 3.
        3. Early systolic clicks are ejection sounds and are found in patients with congenital and acquired lesions of the semilunar valves and great vessels and are usually associated with a murmur.
      • 4.
        4. Mid- or late systolic sounds may or may not be associated with a murmur and are usually not observed in patients with cardiovascular disease.
      • 5.
        5. With a thorough understanding of the characteristics of systolic sounds, their significance may be correctly interpreted.
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