The diagnosis of cardiac disease is a clinical problem. Observation and evaluation of the sounds accompanying cardiac activity are of great importance. The electrocardiogram is of value in the analysis of arrhythmias, and is often useful in confirming a clinical diagnosis of myocardial injury. As Levine so aptly stated: "It is a general axiom that the more thoroughly one understands electrocardiography the less one needs it."1 Auscultation of the heart remains a most valuable clinical procedure, not only in the recognition of valvular heart disease, but in identifying arrhythmias as well.
The problem of the systolic murmur is a generally
SCHERLIS S. THE RECOGNITION AND CLINICAL SIGNIFICANCE OF AURICULAR HEART SOUNDS1. Ann Intern Med. ;24:254–258. doi: 10.7326/0003-4819-24-2-254
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Published: Ann Intern Med. 1946;24(2):254-258.
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