Richard S. Crampton, F.A.C.P.; David M. Lavine, B.A.
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Since athletic hearts may mimic diseased hearts with systolic murmurs and third sounds, 15 members of a 1970 national champion lacrosse team were evaluated before and during training. At peak fitness 11 had systolic murmurs at rest and 14 after exercise. Eleven of 15 had third sounds at rest. After exercise 10 of 15 had third sounds; 4 of the third sounds became louder, 2 appeared, and 3 disappeared. One athlete showed an early diastolic left ventricular inflow murmur at rest. These physical signs were related to simultaneous maximal rate of rise of left ventricular pressure (dp/dt), integrated isovolumetric pressure,
Crampton RS, Lavine DM. Prospective Correlation of Left Ventricular Performance with Murmurs and Sounds in Athletic Hearts.. Ann Intern Med. 1971;74:819. doi: 10.7326/0003-4819-74-5-819_1
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© 2019
Published: Ann Intern Med. 1971;74(5):819.
DOI: 10.7326/0003-4819-74-5-819_1