THE "DOVE-COO" MURMUR AND MURMURS HEARD AT A DISTANCE FROM THE CHEST WALL
Authors: D GROOM, J A BOONE
Journal: Annals of Internal Medicine (1955)

Article1 June 1955THE "DOVE-COO" MURMUR AND MURMURS HEARD AT A DISTANCE FROM THE CHEST WALLDALE GROOM, M.D., JOHN A. BOONE, M.D., F.A.C.P.DALE GROOM, M.D.Search for more papers by this author, JOHN A. BOONE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-6-1214 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAmong all sounds emanating from the human heart, the "dove-coo" or "sea-gull" murmur is unique. None so closely approximates a pure musical tone, and none is so clearly perceived by the ear. Its flowing note, characteristically decrescendo and sliding downward in pitch as it is prolonged throughout most of diastole, bears a startling resemblance to the coo of a dove. Variously described as the "sea-gull cry," the "humming top" or "whistling" murmur, it is referred to in most cardiology textbooks simply as the musical murmur of aortic regurgitation. Its differentiation from ordinary murmurs, which may occasionally possess some degree of...Bibliography1. Laennec RT: A treatise on the diseases of the chest and on mediate auscultation (translated from the French edition by Forbes, J.), 1830, Samuel Wood and Sons, New York. Google Scholar2. BelletGouleyNicholsMcMillan SBCFTM: Loud, musical diastolic murmurs of aortic insufficiency, Am. Heart J. 18: 483-493, 1939. CrossrefGoogle Scholar3. Hope J: A treatise on the diseases of the heart and great vessels (from the third London Edition), 1842, Haswell and Johnson, Philadelphia. Google Scholar4. Hanns A: Pathogenesis of musical murmurs, Médecine 4: 438-444, 1923. Google Scholar5. Osler W: On a remarkable heart murmur heard at a distance from the chest wall, M. Times and Gaz. 2: 432-433, 1880. Google Scholar6. Schiodt E: Heart sounds audible at a distance, Acta med. Scandinav. (Suppl. 266) 142: 887-889, 1952. Google Scholar7. Warburg E: Cardiac murmurs audible at a distance, Acta med. Scandinav. 107: 503-505, 1941. CrossrefGoogle Scholar8. Bean WB: Precordial noises heard at a distance from the chest, J. A. M. A. 152: 1293-1301, 1953. CrossrefMedlineGoogle Scholar9. GelfandBellet DS: The musical murmurs of aortic insufficiency: clinical manifestations; based on a study of 18 cases, Am. J. M. Sc. 221: 644-654, 1951. CrossrefMedlineGoogle Scholar10. StembridgeHejtmancikHerrmann VAMRGR: Unusual musical murmurs of anterior cusp aortic regurgitation, Am. Heart J. 48: 163-172, 1954. CrossrefMedlineGoogle Scholar11. GroomUnderwoodBidwellLindberg DAFJBE: The recording of heart sounds and vibrations. I. Historical review and description of a new electronic direct-contact vibration pickup, in press. Google Scholar12. GroomBoone DJA: The recording of heart sounds and vibrations. II. The application of an electronic pickup in the graphic recording of subaudible and audible frequencies, in press. Google Scholar13. LevineHarvey SAWP: Clinical auscultation of the heart, 1949, W. B. Saunders Company, Philadelphia. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Charleston, South Carolina*Received for publication October 25, 1954.From the Department of Medicine, Medical College of South Carolina. This study was supported in part by grants from the South Carolina Heart Association and the National Heart Institute.The electronic heart sound pickup, described in previous papers,11, 12 was developed in collaboration with the General Motors Research Laboratories, Detroit, Michigan, as a contribution of the General Motors Corporation to cardiovascular research. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDie Aorteninsuffizienz (AI)Musical murmurs: An echo-phonocardiographic studyBibliographyREFERENCESComplex shape and variability of the diastolic murmur of aortic regurgitationTHE NORMAL SYSTOLIC MURMUR*†DALE GROOM, M.D., F.A.C.P., WADDY CHAPMAN, M.D., WOFFORD W. FRANCIS, ANNE BASS, M.D., YRO T. SIHVONEN, M.S.Auscultation of Faint Heart Murmurs 1 June 1955Volume 42, Issue 6Page: 1214-1226KeywordsDiastoleHeartLongitudinal studiesResearch laboratoriesThorax ePublished: 1 December 2008 Issue Published: 1 June 1955 PDF downloadLoading ...