DENNIS BAUMAN, M.D.
To the editor: The murmur of aortic insufficiency is usually described as best heard with the patient upright and leaning forward in held end expiration (1, 2). I have recently seen a patient with a murmur thought to represent aortic insufficiency that was heard best, and sometimes exclusively, in the supine position. Serial observations documented a consistent relation between the patient's position, his blood pressure, and the audibility of the murmur.
A previously healthy 12-year-old boy had the sudden onset of vomiting, diarrhea, and marked fatigue in July 1972. Study showed uremia, severe anemia, and fragmented red blood cells, and a
BAUMAN D. Murmur of Aortic Insufficiency. Ann Intern Med. 1973;78:451–452. doi: 10.7326/0003-4819-78-3-451_2
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Published: Ann Intern Med. 1973;78(3):451-452.
Cardiology, Valvular Heart Disease.
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