Thomas A. Huffman, M.D.; Richard S. Goodwin, M.S.; Richard F. Leighton, M.D.; Joseph M. Ryan, M.D., F.A.C.P.; Charles F. Wooley, M.D.
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Intracardiac sound and pressure are of both investigative and diagnostic significance in the evaluation of heart sounds and murmurs. The understanding of the basic mechanisms of continuous murmurs, their distinction from certain to and fro murmurs, and the diagnostic aspects of this method constitute the subject of this report.
By combining intracardiac and external phonocardiography, conventional catheterization, and angiographic studies, and with surgical confirmation in 11, continuous murmurs have been investigated in 12 patients ranging in age from 16 to 38 years.
Murmurs produced by fistulous communications are intense, usually confined to a small area near the fistulous opening, and
Huffman TA, Goodwin RS, Leighton RF, Ryan JM, Wooley CF. Intracardiac Phonocardiography in the Differential Diagnosis of Continuous Murmurs.. Ann Intern Med. 1965;63:904–905. doi: 10.7326/0003-4819-63-5-904_3
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Published: Ann Intern Med. 1965;63(5):904-905.
Cardiac Diagnosis and Imaging, Cardiology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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