Diastolic murmurs have always been considered abnormal, but this report presents nine apparently normal children with high-frequency, early, diamond-shaped diastolic murmurs confirmed by intracavitary phonocardiography to arise within the left ventricle. Each child (aged 5 to 15 years) was referred for evaluation of a systolic murmur at the lower left sternal border, but an additional finding a...

SINCE the original report of Hunter,' cardiovascular disease has been recognized as an integral feature of the Hurler syndrome (gargoylism, lipochondrodystrophy). Hunter noted cardiomegaly and both systolic and diastolic murmurs in the older of two brothers with this syndrome who died at age 20 of "dropsy."2 Other publications3-5 have continued to record cardiac murmurs, cardiomegaly, and prema...

A case of a dilated and tortuous right coronary artery to left ventricle fistula was surgically repaired. Preoperative intracoronary pressure measurements showed a sudden depression of diastolic pressure in the terminal part of the right coronary artery. Intraoperative mean right coronary flow was recorded as 315 ml/min. After repair of the fistula, blood flow measurements showed only 35 ml/min...

t has long been known that patients with anemia often have cardiac murmurs, especially “innocent” or “flow” systolic murmurs. These murmurs are not related to valvular disease; they are, however, related to alterations of cardiac dynamics. Tachycardia, increased cardiac output, and dilatation of the heart result from a significant drop of the hemoglobin level. Thus, the myocardium is stressed b...

Recent studies have applied nonlinear analysis methods for heart sounds to diagnose coronary artery disease (CAD). Coronary artery occlusion may cause diastolic heart murmurs, so analysis of diastolic heart murmurs has important significance to noninvasive diagnosis of CAD. Heart sound signal is typical nonlinear and non-stationary time series, nonlinear analysis method correlation dimension ca...

The diagnosis of early rheumatic carditis usually depends upon the detection of murmurs produced by acute valvulitis. It may be difficult to evaluate clinically the significance of certain murmurs occurring in patients with rheumatic fever, though the development of a loud apical pansystolic murmur in a patient already under observation usually presents no diagnostic problem. More frequently a ...

This article outlines a systematic approach to auscultation of the heart and discusses the significance of the heart sounds and murmurs heard.Auscultation of heart and lungs. Completion of this package will encourage learners to: Communicate with patients in a way, which reduces anxiety, provides.remembered that auscultation of the heart is only one component of the cardiac physical. Recent adv...