A phonocardiographic study of apical diastolic murmurs simulating those of mitral stenosis.

Abstract

Article1 July 1950A PHONOCARDIOGRAPHIC STUDY OF APICAL DIASTOLIC MURMURS SIMULATING THOSE OF MITRAL STENOSISALDO A. LUISADO, M.D., LUIS PÉREZ MONTES, M.D.ALDO A. LUISADO, M.D.Search for more papers by this author, LUIS PÉREZ MONTES, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-33-1-56 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt has been known for a long time that patients with an enlarged left ventricle and auricle and a normal mitral orifice may present a diastolic murmur at the apex, simulating that of mitral stenosis. In particular, this diastolic murmur has been described in patients with: (a) hyperthyroidism; (b) congenital heart disease, especially septal defects; (c) mitral insufficiency and no appreciable stenosis; (d) aortic insufficiency; (e) hypertensive or coronary heart disease; (f) adhesive pericarditis.With a few exceptions, to be quoted later, the above studies were based upon clinical auscultation. For this reason we thought it interesting to start a...Bibliography1. Flint A: On cardiac murmurs, Am. J. M. Sc. 44: 29, 1862. Google Scholar2. White PD: A note on the differentiation of the diastolic murmurs of aortic regurgitation and mitral stenosis, Boston M. and S. J. 195: 1146, 1926. CrossrefGoogle Scholar3. BlandJonesWhite EFTDPD: The development of mitral stenosis in young people with a discussion of the frequent misinterpretation of a mid-diastolic murmur at the cardiac apex, Am. Heart J. 9: 995, 1935. CrossrefGoogle Scholar4. Bramwell C: Sounds and murmurs produced by auricular systole, Quart. J. Med. 4: 139, 1935. Google Scholar5. TaquiniMassellWalsh AGBFBF: Phonocardiographic studies of early rheumatic heart disease, Am. Heart J. 20: 295, 1940. CrossrefGoogle Scholar6. Luisada AA: Clinical applications of phonocardiography, Arch. Pediat. 60: 498, 1943. Google Scholar7. Luisada AA: Heart: a physiologic and clinical study of cardiovascular diseases, 1948, Williams and Wilkins, Baltimore. Google Scholar8. Luisada AA: On the apical sounds and murmurs in aortic regurgitation, Am. Heart J. 28: 156, 1944. CrossrefGoogle Scholar9. Evans W: Heart murmurs, Brit. Heart J. 9: 1 and 225, 1947. CrossrefGoogle Scholar10. Luisada AA: Variable time interval between electric and acoustic phenomena in auricular fibrillation, Am. Heart J. 22: 245, 1941. CrossrefGoogle Scholar11. Cossio P: Fenomeno acustico de la estenosis mitral segun su registro grafico, Rev. Argent. de cardiol. 4: 383, 1938. Google Scholar12. CossioBerconsky PJ: El primer ruido cardiaco y el soplo presistolico en la estenosis mitral con fibrilación auricular, Rev. Argent. de cardiol. 10: 162, 1943. Google Scholar13. Rytand DA: Am. Heart J. 32: 579, 1946. CrossrefMedlineGoogle Scholar14. BattroBraun Menéndez AE: Fonocardiografia de la estrechez mitral, Rev. Argent. de cardiol. 4: 1, 1937. Google Scholar15. WeinsteinLev MM: Apical diastolic murmurs without mitral stenosis, Am. Heart J. 23: 809, 1942. CrossrefGoogle Scholar16. RobinowHarper WHT: Functional mitral stenosis, Ann. Int. Med. 17: 823, 1942. LinkGoogle Scholar17. AlimurungRappaportSprague MMMBHB: Variations in the first apical sound simulating the so-called "pre-systolic murmur of mitral stenosis." A phonocardiographic study, New Eng. J. Med. 241: 631, 1949. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 28, 1948.†Now at the Laboratory of Cardiology of The Chicago Medical School under a Teaching Grant of the National Heart Institute, U. S. Public Health Service. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySounds and Pulses as Aids to Cardiac DiagnosisBibliographyFunctional diastolic murmursREFERENCESInnocent Diastolic MurmursAuscultation of the Senile HeartErworbene Herz- und GefäßkrankheitenControversial and changing aspects of auscultationOpening snap in relative tricuspid stenosisMitral stenosisApical diastolic and presystolic murmurs of proved functional natureEarly transient mid-diastolic murmur in rheumatic feverATRIAL SEPTAL DEFECT IN CHILDRENPhonocardiography as a Clinical Method of ExaminationAPICAL DIASTOLIC MURMURS SIMULATING MITRAL STENOSIS. II. GRAPHIC DIFFERENTIATION*ALDO A. LUISADA, M.D., F.A.C.P., OLGA M. HARING, M.D., ARIO B. ZILLI, M.D.KlappenfehlerEvolution of murmurs in early rheumatic heart diseaseRecent advances in the diagnosis of rheumatic heart diseaseClinical and Phonocardiographic Observations on the Flint MurmurPhonocardiographic differentiation of vibratory (functional) murmurs from those of valvular insufficiency: Further observations and application to the diagnosis of rheumatic heart disease 1 July 1950Volume 33, Issue 1Page: 56-72KeywordsCongenital heart diseaseCoronary heart diseaseHeartHyperthyroidismLeft ventricleMedical servicesMitral insufficiencyMitral stenosisResearch laboratoriesStenosis ePublished: 1 December 2008 Issue Published: 1 July 1950 PDF downloadLoading ...