ALDO A. LUISADA, M.D., F.A.C.P.; OLGA M. HARING, M.D.; ARIO B. ZILLI, M.D.
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It has been known for a long time that patients with a normal mitral orifice may present a low-pitched diastolic or presystolic murmur which is indistinguishable upon auscultation from that of mitral stenosis. Such a murmur has been described in aortic regurgitation,1 pericardial or hypertensive heart disease,2 rheumatic heart disease without mitral stenosis,3, 4 and myocarditis.5
Later on, phonocardiographic studies gave objective evidence of the existence and subsequent disappearance of the murmurs. In some of the cases the murmur was documented during life by the tracing, and autopsy disclosed that no mitral stenosis existed. A group of 13 patients with
LUISADA AA, HARING OM, ZILLI AB. APICAL DIASTOLIC MURMURS SIMULATING MITRAL STENOSIS. II. GRAPHIC DIFFERENTIATION1. Ann Intern Med. ;42:644–653. doi: 10.7326/0003-4819-42-3-644
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Published: Ann Intern Med. 1955;42(3):644-653.
Cardiology, Valvular Heart Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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