A PATHOLOGICAL STUDY OF THE SIGNIFICANCE OF THE SYSTOLIC MURMUR

Abstract

Article1 June 1942A PATHOLOGICAL STUDY OF THE SIGNIFICANCE OF THE SYSTOLIC MURMURM. S. REDNICK, M.D., F.A.C.P.M. S. REDNICK, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-16-6-1197 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe subject of the systolic murmur is still a broad and rather unsettled phase of cardiology, and although much has been added to the general knowledge concerning the etiology and mechanics of this murmur, full progress and complete understanding in this important field have not kept pace with advances made in other branches of medicine. A search of the literature reveals a rather surprising number of divergent views which have been expressed regarding the cause, significance and interpretation of the systolic murmur.The factors entering into the production of a murmur are well brought out by Sprague2who states "that...Bibliography1. VAQUEZ L: Diseases of the heart, 1924, W. B. Saunders & Company, Philadelphia, 69. Google Scholar2. SPRAGUE H: Mechanism of the production of heart murmur, Modern Concepts of Cardiovascular Disease, 1937, vi, 9-10. Google Scholar3. Nomenclature and criteria for diagnosis and diseases of the heart, 1932, N. Y. Heart Assoc., New York, 6. Google Scholar4. SULLIVAN A: Significance of murmurs, Tri-state Med. Jr., 1931, iv, 767. Google Scholar5. WHITE P: Heart disease, 1937, The Macmillan Company, New York, 40. Google Scholar6. BASSMONDMESSELLOFFOPPENHEIMER MHCE: The systolic murmur in children, Jr. Am. Med. Assoc., 1933, ci, 17. CrossrefGoogle Scholar7. MALINEROKIN MI: The significance and a differential diagnostic test of precordial murmurs in children, Jr. Pediat., 1937, x, 77. CrossrefGoogle Scholar8. MACKENZIE J: Oxford system of medicine, Oxford Univ. Press, New York, ii, 464. Google Scholar9. CABOT G: Facts on the heart, 1926, W. B. Saunders & Company, Philadelphia, 293. Google Scholar10. LEVINE S: Systolic murmur—its clinical significance, Jr. Am. Med. Assoc., 1933, ci, 436. CrossrefGoogle Scholar11. HERRICK J: Discussion on systolic murmur, Jr. Am. Med. Assoc., 1933, ci, 436. Google Scholar12. ZUELGER G: The systolic murmur, New York State Med. Jr., 1937, xxxvii, 1289. Google Scholar13. ZUELGER G: Systolic murmur—symptomatic importance in heart muscle weakness, New York State Med. Jr., 1937, xxxvii, 1289-1292. Google Scholar14. ROBEY W: Significance and interpretation of heart murmurs in general practice, Med. Clin. North Am., 1935, viii, 893. Google Scholar15. FAHR G: Significance of the systolic murmur, Nebraska State Med. Jr., 1930, xv, 458. Google Scholar16. LEVINE S: Clinical significance of the systolic murmur, ANN. INT. MED., 1933, vi, 1371. Google Scholar17. REID W: Heart murmurs in the practice of medicine, New England Jr. Med., 1937, cciv, 597. Google Scholar18. THAYER W: Reflections on the interpretation of systolic cardiac murmurs, Am. Jr. Med. Sci., 1925, clxix, 313. Google Scholar19. SCOTT R: The systolic murmur in clinical medicine and in insurance examinations, Ohio State Med. Jr., 1935, xxxvii, 943. Google Scholar20. HUNTER J: The apical systolic murmur, Virginia Med. Monthly, 1936, lxiii, 303. Google Scholar21. ROSENTHAL M: Anatomic mechanism in production of Flint murmur, Arch. Path., 1933, xvi, 862. Google Scholar22. NIEHAUS F: Apical systolic murmur and mitral regurgitation, Nebraska Med. Jr., 1936, xxi, 464. Google Scholar23. REIFENSTEIN E: The significance of cardiac murmurs, Internat. Clin., 1937, iii, 159. Google Scholar24. WURTZER E: Significance of systolic apical murmurs, Jr. Iowa State Med. Soc., 1934, xxiv, 626. Google Scholar25. FINEBERGSTEUER HL: Apical systolic murmurs in children, Am. Heart Jr., 1934, vii, 553. Google Scholar26. WOLFERTH E: Auriculosystolic murmur in tricuspic area during convalescence from acute coronary occlusion, Am. Jr. Med. Sci., 1935, clxxxvi, 739. Google Scholar27. LEECH C: The Austin Flint murmur and differential diagnosis, New England Jr. Med., 1934, ccxi, 1007. CrossrefGoogle Scholar28. FRIEDLANDERBROWN RM: The systolic murmur: further observations on its clinical significance, ANN. INT. MED., 1935, viii, 893-899. Google Scholar29. NEUHOF S: The heart, 1923, P. Blakiston's Son and Company, Philadelphia. Google Scholar30. WOLFERTHMARGOLIES CA: Various types of extra heart sounds, Med. Clin. North Am., 1931, xiv, 897. Google Scholar31. BERGER S: Significance of systolic murmurs, Ohio State Med. Jr., 1927, xxiii, 569. Google Scholar32. LENDON G: Interpretation of the systolic murmur, Med. Jr. Australia, 1934, i, 613-617. CrossrefGoogle Scholar33. MCCRUDDEN F: Murmurs and their significance, New England Jr. Med., 1931, cciv, 598. CrossrefGoogle Scholar34. OKIN I: Non-pathologic or functional murmurs in childhood, Jr. Med. Soc. New Jersey, 1931, xxxviii, 100. Google Scholar35. SULLIVAN A: Significance of murmurs, Tri-state Med. Jr., 1931, iv, 767. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Ossining, New York*Received for publication January 11, 1939. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1942Volume 16, Issue 6Page: 1197-1205KeywordsEtiologySystolic ejection murmur ePublished: 1 December 2008 Issue Published: 1 June 1942 PDF downloadLoading ...