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Abstracts |

The Spectrum of Pulmonary Valvular Insufficiency.

John C. Holmes, M.D., F.A.C.P.; Noble O. Fowler, M.D., F.A.C.P.; and James Helmsworth, M.D.
Ann Intern Med. 1967;66(5):1037. doi:10.7326/0003-4819-66-5-1037_1
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Pulmonary valve incompetence is not uncommon in patients with severe pulmonary hypertension. Pulmonary valvular insufficiency is rare in patients with normal pulmonary artery pressure. The clinical recognition of such isolated pulmonary valvular incompetence presents many difficulties. Our patients, at first, were either unrecognized or were incorrectly diagnosed as having aortic insufficiency. The diastolic murmur of isolated pulmonary valvular insufficiency is often delayed and of low pitch and may be confused with a gallop sound or a tricuspid diastolic murmur.

This report describes seven patients, aged 8 to 63 years, with pulmonary incompetence and normal pulmonary artery systolic pressures. These patients


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