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. ;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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