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Epigastric Bruits in Patients with and Without Celiac Axis Compression: A Phonoarteriographic Study

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▸Requests for reprints should be addressed to W. C. Watson, M.D., Victoria Hospital, London, Ontario N6A 4G5.

Ann Intern Med. 1973;79(2):211-215. doi:10.7326/0003-4819-79-2-211
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The prevalence of epigastric bruits in an inpatient population of 161 psychiatric patients was 31% and in 200 consecutive ambulant patients with gastrointestinal symptoms, 27%. "Innocent" murmurs are localised, of short duration, midsystolic, usually faint but slightly louder and longer during expiration. There is equal distribution between the sexes, and the frequency is higher in the younger age groups. In patients with celiac axis compression, on the other hand, the murmurs are louder, longer (mean maximum duration, 0.50 seconds), begin in early or midsystole, and extend into early diastole. Murmurs do not always disappear after surgical relief of the arterial compression, probably because of persistence of poststenotic dilatation. The phonoarteriographic properties of an epigastric bruit may be useful for selecting patients for abdominal aortography.





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