MORTON E. TAVEL, M.D., F.A.C.P.
During the past 10 years some reports have suggested a syndrome association among an unusually straight back (loss of upper dorsal kyphosis), narrow anteroposterior chest diameter, and certain clinical findings that simulate heart disease (1, 2). These clinical findings include a pulmonary systolic ejection murmur and a widely split second heart sound that, although usually varying with respiration, occasionally remains audibly split during expiration. Splitting of the first heart sound may seem exaggerated, and one may feel a prominent and seemingly sustained outward parasternal impulse. Roentgenograms often show prominent pulmonary arteries and displacement of the heart to the left, with
TAVEL ME. Straight Back—A "Nonsyndrome"?. Ann Intern Med. 1970;73:335–336. doi: 10.7326/0003-4819-73-2-335
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Published: Ann Intern Med. 1970;73(2):335-336.
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