The Clinical Significance of the Systolic Murmur*†
Authors: A. R. FREEMAN
Journal: Annals of Internal Medicine (1933)

Article1 May 1933The Clinical Significance of the Systolic MurmurA Study of 1000 Consecutive "Non-Cardiac" CasesA. R. FREEMAN, M.D., SAMUEL A. LEVINE, M.D., F.A.C.P.A. R. FREEMAN, M.D., SAMUEL A. LEVINE, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-6-11-1371 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe significance of the systolic heart murmur has long been a matter of considerable discussion. Not so very long ago, if a heart murmur was heard in a patient, the physician would quickly make a diagnosis of some organic heart condition. If it were systolic in time, and especially if apical in origin, a diagnosis of mitral insufficiency would be made. About fifteen years ago, particularly as a result of the extensive experience with neurocirculatory asthenia, or the so-called soldier's heart during the great war, the pendulum began to swing to the diametrically opposite position. It was found that...References1 CABOT RC: Facts on the heart, 1926, W. B. Saunders Co., Philadelphia, pages 291 and 296. Google Scholar2 HERRICK JB: In defense of stethoscope, ANN. INT. MED., 1930, iv, 113-116. Google Scholar3 WHITE PD in CECIL, R. L.: Textbook of medicine, 2 Ed., 1930, W. B. Saunders Co., Philadelphia, page 1095. Google Scholar4 THAYER WS: Reflections on the interpretation of systolic cardiac murmurs, Am. Jr. Med. Sci., 1925, clxix, 313-321. Google Scholar5 LEE RI: The physical examination of apparently healthy individuals; its importance, limitations and opportunities, Boston Med. and Surg. Jr., 1923, clxxxviii, 929-937. CrossrefGoogle Scholar6 MCCRUDDEN FH: Heart murmurs and insurance, New Eng. Jr. Med., 1931, cciv, 598-600. CrossrefGoogle Scholar7 WHITE PD: Clinical significance of apical heart murmurs, Am. Jr. Med. Sci., 1927, clxxiv, 731-738. Google Scholar8 BLUMGART HL: Velocity of blood flow in health and disease; velocity of blood flow in man and its relation to other measurements of circulation, Medicine, 1931, x, 1-75. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: A. R. FREEMAN, M.D.; SAMUEL A. LEVINE, M.D., F.A.C.P.Affiliations: Boston, Massachusetts*Received for publication August 29, 1932.†From the Medical Clinic of the Peter Bent Brigham Hospital, Boston, and the Harvard Medical School. 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Part ISome clinical notes on patients with mitral valvular disease who have had mitral valvuloplasty. Part IIMitral insufficiency∗THE AORTIC SYSTOLIC MURMUR DEVELOPING WITH INCREASING AGEAUSCULTATORY AND PHONOCARDIOGRAPHIC SIGNS OF ATRIAL SEPTAL DEFECTKlappenfehlerTHE DIAGNOSIS OF RHEUMATIC VALVULAR DISEASE 1924-1954The clinical features of aortic stenosisMITRAL INCOMPETENCESYSTOLIC MURMURS IN 525 HEALTHY YOUNG ADULTSThe incidence of rheumatic heart disease in native school children of Dade County, FloridaThe diagnosis of mitral insufficiency in rheumatic childrenEARLY DIAGNOSIS OF RHEUMATIC VALVULAR DISEASE IN RECRUITSThe Diagnosis and Management of Chronic Valvular Heart DiseaseSOME NOTES ON THE TRANSMISSION OF HEART MURMURS*SAMUEL A. LEVINE, M.D., F.A.C.P., WILLIAM B. LIKOFF, M.D.THE SYSTOLIC MURMUR*J. S. BLUMENTHAL, M.D.The sounds produced by the friction of normal serosaeThe significance of and a differential diagnostic test of precordial murmurs in childrenTHE SYSTOLIC MURMUR: FURTHER OBSERVATIONS ON ITS CLINICAL SIGNIFICANCE *RICHARD D. FRIEDLANDER, M.D., MORTON G. BROWN, M.D. 1 May 1933Volume 6, Issue 11Page: 1371-1385KeywordsHeartHeart diseasesHeart murmursHospitalsMitral insufficiency ePublished: 1 December 2008 Issue Published: 1 May 1933 PDF downloadLoading ...