Wayne Siegel, M.D.; D. O. Nutter, M.D.; R. C. Schlant, M.D., F.A.C.P.; J. W. Hurst, M.D., F.A.C.P.
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Isometric handgrip exercise has been employed to induce acute elevation of blood pressure and heart rate in 81 patients with valvular or coronary atherosclerotic heart disease. Pressor responses occurred in all patients and normals. Handgrip exercise altered murmur intensity in 19 patients with documented valvular lesions. The murmurs of aortic stenosis (six patients) and subaortic stenosis (one patient) decreased in intensity during exercise. The murmurs of aortic regurgitation (six patients), mitral regurgitation (four patients), mitral stenosis (three patients), and pulmonic regurgitation (two patients) increased during handgrip exercise. In 27 patients with atherosclerotic heart disease the responses to maximal handgrip exercise
Siegel W, Nutter DO, Schlant RC, et al. The Use of Isometric Exercise As a Diagnostic Maneuver in Patients with Heart Disease.. Ann Intern Med. 1971;74:822. doi: 10.7326/0003-4819-74-5-822_2
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Published: Ann Intern Med. 1971;74(5):822.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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