BASAL SYSTOLIC MURMURS AND THE CAROTID PULSE CURVE IN THE DIAGNOSIS OF CALCAREOUS AORTIC STENOSIS
Authors: G DAOUD, E H REPPERT, J S BUTTERWORTH
Journal: Annals of Internal Medicine (1959)

Article1 February 1959BASAL SYSTOLIC MURMURS AND THE CAROTID PULSE CURVE IN THE DIAGNOSIS OF CALCAREOUS AORTIC STENOSISGEORGES DAOUD, M.D., EDMUND H. REPPERT JR., M.D., J. SCOTT BUTTERWORTH, M.D., F.A.C.P.GEORGES DAOUD, M.D., EDMUND H. REPPERT JR., M.D., J. SCOTT BUTTERWORTH, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-50-2-323 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWe have reviewed the last 30 autopsies at the University Hospital in which the diagnosis of calcareous aortic stenosis was made by the pathologist. Somewhat to our surprise we found that the clinical diagnosis had been missed in 65% of the cases, although we should have expected this from the literature1, 2, 3 and our own studies.The literature reveals many opinions concerning calcareous aortic stenosis. For instance, the etiology has been variously ascribed to a primary degenerative arteriosclerotic lesion,4, 5 to rheumatic fever,2, 6, 7 to congenital anomalies8 and to hypercholesterolemia.9, 10The typical case presents a history of...Bibliography1. McGinnWhite SPD: Clinical observations on aortic stenosis, Am. J. M. Sc. 188: 1-15, 1934. CrossrefGoogle Scholar2. KarsnerKoletsky HTS: Calcific disease of the aortic valve, 1947, J. B. Lippincott Company, Philadelphia. Google Scholar3. BergeronAbelmannVazquez-MilanEllis JWHHLB: Aortic stenosisclinical manifestations and course of the disease, Arch. Int. Med. 94: 911-924, 1954. CrossrefGoogle Scholar4. SohvalGross ARL: Calcific sclerosis of the aortic valve (Monckeberg type), Arch. Path. 22: 477-494, 1936. Google Scholar5. FriedbergSohval CKAR: Nonrheumatic calcific aortic stenosis, Am. Heart J. 17: 452-469, 1939. CrossrefGoogle Scholar6. Christian HA: Aortic stenosis with calcification of the cusps: distinct clinical entity, J. A. M. 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