M. Leo Hughes Jr., M.D.; Robert L. King, M.D., F.A.C.P.
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It is generally considered that the presence of a diastolic murmur indicates significant heart disease. Ten asymptomatic patients with Grade 2 4/6 high pitched diastolic decrescendo murmurs along the left sternal border, characteristic of semilunar valve insufficiency, have been followed up 5 or more years. All patients have maintained, without change, normal chest X rays, electrocardiograms, and cardiac fluoroscopic examinations. Auscultatory and phonocardiographic findings have remained constant. Cardiac catheterization and angiocardiographic studies revealed no abnormalities.
All patients were males, ages 20 to 48, who regularly participated, without restrictions, in physically active sports. They were free of all cardiorespiratory symptoms. There was
Hughes ML, King RL. Adynamic Basal Diastolic Murmurs.. Ann Intern Med. ;63:902. doi: 10.7326/0003-4819-63-5-902_1
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Published: Ann Intern Med. 1965;63(5):902.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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