ALDO A. LUISADO, M.D.; LUIS PÉREZ MONTES, M.D.
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It has been known for a long time that patients with an enlarged left ventricle and auricle and a normal mitral orifice may present a diastolic murmur at the apex, simulating that of mitral stenosis. In particular, this diastolic murmur has been described in patients with: (a) hyperthyroidism; (b) congenital heart disease, especially septal defects; (c) mitral insufficiency and no appreciable stenosis; (d) aortic insufficiency; (e) hypertensive or coronary heart disease; (f) adhesive pericarditis.
With a few exceptions, to be quoted later, the above studies were based upon clinical auscultation. For this reason we thought it interesting to start a
LUISADO AA, MONTES LP. A PHONOCARDIOGRAPHIC STUDY OF APICAL DIASTOLIC MURMURS SIMULATING THOSE OF MITRAL STENOSIS1. Ann Intern Med. ;33:56–72. doi: 10.7326/0003-4819-33-1-56
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Published: Ann Intern Med. 1950;33(1):56-72.
Cardiology, Valvular Heart Disease.
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