JACOB J. SILVERMAN, M.D., F.A.C.P.; SIEGFRIED SALOMON, M.D.
The cardiologist is frequently confronted with disturbances associated with posture. Angina decubitus and postural hypotension are familiar examples. The physiologic mechanism controlling the vertical stance in man is a complicated one. Upright posture requires a delicate balance of many reflexes which, in terms of adaptation, is not always perfect. Indeed, the evolution from a quadruped to a biped has imposed definite cardiovascular penalties.
Unless the cardiologist is alerted to the importance of posture, many diagnoses will be overlooked or misinterpreted. The characteristic presystolic murmur of mitral stenosis, for example, may be heard only in the left lateral position. The right
SILVERMAN JJ, SALOMON S. THE ROLE OF POSTURE IN CARDIOVASCULAR DISEASE1. Ann Intern Med. ;47:59–70. doi: 10.7326/0003-4819-47-1-59
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Published: Ann Intern Med. 1957;47(1):59-70.
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