Systolic Murmurs in the Elderly

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Cardiac pathology and systolic murmurs in the elderly.

Systolic murmurs are often noted in elderly patients admitted to hospital (Monroe, 1951). They tend to be dismissed as of no clinical significance and due to aortic sclerosis (Bruns and Van der Hauwaert, 1958); rarely is origin from other valves considered. However, observations during earlier studies on other aspects of cardiovascular pathology in the aged (Pomerance, 1965, 1967) did not seem ...

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Doppler echocardiography in elderly patients with ejection systolic murmurs.

Thirty-nine elderly patients, mean age 77 years (range 65 to 96), with ejection systolic murmurs were studied to evaluate the functional significance of these murmurs. Subjects were evaluated clinically, by 2-D echocardiography, and by a full Doppler echocardiography study. Good quality Doppler signals were obtained in 35 subjects. Mitral regurgitation was found to be the only significant valvu...

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Systolic Murmurs in Children

The general practitioner has to deal almost daily in his work with the problem of systolic murmurs. He finds such murmurs often in apparently healthy children during a routine check and is then confronted by the question whether to consider these murmurs as of no importance, or to investigate further. There exists a wide discrepancy among publications on the incidence of systolic murmurs in chi...

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The graphic configuration of innocent systolic murmurs.

The systolic murmurs heard in healthy subjects used to be called " functional " murmurs. White et al. (1942) recommended the term " physiologic." Evans (1947) called these murmurs " innocent." Others have called them " incidental,' "' accidental,'' or "' murmurs of unknown origin." The decision that a systolic murmur is innocent usually depends not only on the character of the murmur itself, bu...

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How to evaluate systolic murmurs

OBJECTIVE To compare cardiac physical examination with echocardiography for evaluating systolic murmurs. QUALITY OF EVIDENCE Three databases were searched for studies comparing echocardiography and auscultation as to sensitivity and diagnostic accuracy: MEDLINE (Ovid Online), EMBASE, and Current

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ژورنال

عنوان ژورنال: BMJ

سال: 1968

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.4.5634.831-a