E. R. MOVITT, M.D., F.A.C.P.; B. GERSTL, M.D.
Appraisal of the significance of systolic murmurs has undergone various changes in the last few decades. Originally it was thought that every patient with a systolic murmur had heart disease. Thus a diagnosis of mitral insufficiency of rheumatic origin was frequently made solely on the basis of an apical systolic murmur. Many a prospective recruit with such a murmur was rejected for military service even in the absence of any other evidence of cardiac involvement. This point of view was prevalent here and abroad before the first World War. However, as many a soldier with a systolic apical murmur not
MOVITT ER, GERSTL B. PURE MITRAL INSUFFICIENCY OF RHEUMATIC ORIGIN IN ADULTS1. Ann Intern Med. ;38:981–1001. doi: 10.7326/0003-4819-38-5-981
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Published: Ann Intern Med. 1953;38(5):981-1001.
Cardiology, Rheumatology, Valvular Heart Disease.
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