APICAL DIASTOLIC MURMURS SIMULATING MITRAL STENOSIS. II. GRAPHIC DIFFERENTIATION
Authors: A A LUISADA, O M HARING, A B ZILLI
Journal: Annals of Internal Medicine (1955)

Article1 March 1955APICAL DIASTOLIC MURMURS SIMULATING MITRAL STENOSIS. II. GRAPHIC DIFFERENTIATIONALDO A. LUISADA, M.D., F.A.C.P., OLGA M. HARING, M.D., ARIO B. ZILLI, M.D.ALDO A. LUISADA, M.D., F.A.C.P., OLGA M. HARING, M.D., ARIO B. ZILLI, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-3-644 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt has been known for a long time that patients with a normal mitral orifice may present a low-pitched diastolic or presystolic murmur which is indistinguishable upon auscultation from that of mitral stenosis. Such a murmur has been described in aortic regurgitation,1 pericardial or hypertensive heart disease,2 rheumatic heart disease without mitral stenosis,3, 4 and myocarditis.5Later on, phonocardiographic studies gave objective evidence of the existence and subsequent disappearance of the murmurs. In some of the cases the murmur was documented during life by the tracing, and autopsy disclosed that no mitral stenosis existed. A group of 13 patients with...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. BlandDuckett JonesWhite EFTPD: 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. Gibson S: Eyes, hands, and ears in the diagnosis of heart disease in children, Pediat. Clin. North America, p. 3 (Feb.) 1954. CrossrefMedlineGoogle Scholar5. WeinsteinLev MM: Apical diastolic murmurs without mitral stenosis, Am. Heart J. 23: 809, 1942. CrossrefGoogle Scholar6. 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CurrensThompsonRappaportSprague JHWBMBHB: Clinical and phonocardiographic observations on the Flint murmur, New England J. Med. 248: 583, 1953. CrossrefMedlineGoogle Scholar13. Luisada AA: The heart beat, 1953, P. B. Hoeber, New York. Google Scholar14. Luisada AA: Variable interval between electric and acoustic phenomena in atrial fibrillation, Am. Heart J. 22: 245, 1941. CrossrefGoogle Scholar15. CossioBerconsky PI: El primer ruido cardiaco y el soplo presistolico en la estrechez mitral con fibrilacion auricular, Rev. argent. de cardiol. 10: 162, 1943. Google Scholar16. Wells BG: The graphic configuration of apical diastolic murmurs, Brit. Heart J. 14: 261, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ALDO A. LUISADA, M.D., F.A.C.P.; OLGA M. HARING, M.D.; ARIO B. ZILLI, M.D.Affiliations: Chicago, Illinois*Received for publication August 27, 1954.From the Division of Cardiology of The Chicago Medical School and The Mount Sinai Hospital of Chicago.†Associate Professor of Medicine and Director, Division of Cardiology under a Teaching Grant of the U.S.P.H.S., National Heart Institute.‡Associate in Medicine and Research Associate under a Teaching Grant of the U.S.P.H.S., National Heart Institute.§Instructor in Medicine and Research Associate.This study was aided by a grant of the Chicago Heart Association. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySounds and Pulses as Aids to Cardiac DiagnosisBibliographyFunctional diastolic murmursInnocent Diastolic MurmursAuscultation of the Senile HeartParadoxic Splitting of the Second Heart Sound in Systemic HypertensionControversial and changing aspects of auscultationOpening snap in relative tricuspid stenosisTHE AUSCULTATORY FINDINGS IN HYPERTENSIONThe expanding horizon of phonocardiographyMitral stenosisHerz und Kreislauf bei Erkrankungen des Blutes und der blutbildenden OrganeApical diastolic and presystolic murmurs of proved functional natureEarly transient mid-diastolic murmur in rheumatic feverA phonocardiographic study of the apical diastolic murmurs in pure mitral insufficiencyThe Austin Flint Murmur: Its Differentiation from the Murmur of Rheumatic Mitral StenosisPhonocardiography as a Clinical Method of Examination 1 March 1955Volume 42, Issue 3 Page: 644-653 Keywords Auscultation Autopsy Cardiovascular therapy Heart Longitudinal studies Mitral stenosis Stenosis ePublished: 1 December 2008 Issue Published: 1 March 1955 PDF downloadLoading ...