Apical diastolic murmurs in patent ductus arteriosus.

Abstract

Article1 October 1950APICAL DIASTOLIC MURMURS IN PATENT DUCTUS ARTERIOSUSABE RAVIN, M.D., F.A.C.P., WARD DARLEY, M.D., F.A.C.P.ABE RAVIN, M.D., F.A.C.P.Search for more papers by this author, WARD DARLEY, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-33-4-903 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFor several years the authors have been interested in the occurrence of apical diastolic murmurs in some patients with patent ductus arteriosus. Recently the opportunity was presented of studying a group of 21 patients with patent ductus arteriosus, and the results of this study are presented in this paper. The apical diastolic murmurs with which we have been impressed sound to us like those that are encountered in mitral stenosis. They are low-pitched, rumbling murmurs, localized at the cardiac apex and best heard in the lateral decubitus after exercise.A review of the English literature since 1895 yielded only five...Bibliography1. BlumerMcAlenney GP: The relationship of patent ductus arteriosus to infectious processes in the duct itself, in the pulmonary artery, the aorta and the heart valves, Yale J. Biol. and Med. 3: 483-493 (July) 1931. MedlineGoogle Scholar2. JonesDolleyBullock JCFSLT: The diagnosis and surgical therapy of patent ductus arteriosus, J. Thoracic Surg. 9: 413-430 (April) 1940. CrossrefGoogle Scholar3. EppingerBurwellGross ECCSRE: The effects of the patent ductus arteriosus on the circulation, J. Clin. Investigation 20: 127-143 (March) 1941. CrossrefMedlineGoogle Scholar4. HonigmanBrantigan AHOC: Ligation of the patent ductus arteriosus; with a report of a successful case, Bull. School Med. Univ. Maryland 29: 175-194 (April) 1945. Google Scholar5. LevineGeremia SAAE: Clinical features of patent ductus arteriosus with special reference to cardiac murmurs, Am. J. M. Sc. 213: 385-394, 1947. CrossrefMedlineGoogle Scholar6. Lichty J: Personal communication. Google Scholar7. WoodWhite JEPD: The interpretation of mitral diastolic and aortic systolic murmurs, M. Clin. North America 7: 729-751 (Nov.) 1923. Google Scholar8. BlandWhiteJones EFPDTD: 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. 10: 995-1004 (Dec.) 1935. CrossrefGoogle Scholar9. ShapiroKeysViolante MJAA: Clinical and physiologic analysis of twenty-three patients with persistent patent ductus arteriosus, Internat. Clin. 4: 148-164 (Dec.) 1941. Google Scholar10. Dexter L: Venous catheterization of the heart. II. Results, interpretations, and value, Radiology 48: 451-462, 1947. CrossrefMedlineGoogle Scholar11. Ravin A: Myxedema: presentation of a group of cases illustrating phases of the disease which are receiving attention in recent literature, Ann. Int. Med. 11: 302-323, 1937. LinkGoogle Scholar12. StewartDeitrickCrane HJJENF: Studies of the circulation in patients suffering from spontaneous myxedema, J. Clin. Investigation 17: 237-248, 1938. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication January 15, 1949.From the Rheumatic Fever Diagnostic Service and the Department of Medicine, University of Colorado School of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiac auscultationFlutter of the mitral valve associated with a diastolic murmur in the absence of diseaseBibliographyFunctional diastolic murmursDiastolic and continuous murmursGallop rhythmAngeborene Herz- und GefäßfehlerRelative stenosis of cardiac valvesAtypical Patent Ductus Arteriosus in InfancyThis is dummy textSPECTRAL PHONOCARDIOGRAPHIC STUDIES IN CONGENITAL HEART DISEASEThe clinical syndromes in patent ductus arteriosusKlappenfehlerThe importance of patent ductus arteriosus in infantsStudies in Catheterization of the Heart in Cases of Patent Ductus Arteriosus Botalli 1 October 1950Volume 33, Issue 4Page: 903-914KeywordsDiagnostic medicineExerciseMitral stenosisPatent ductus arteriosusRheumatic fever ePublished: 1 December 2008 Issue Published: 1 October 1950 PDF downloadLoading ...