PURE MITRAL INSUFFICIENCY OF RHEUMATIC ORIGIN IN ADULTS
Authors: E R MOVITT, B GERSTL
Journal: Annals of Internal Medicine (1953)

Article1 May 1953PURE MITRAL INSUFFICIENCY OF RHEUMATIC ORIGIN IN ADULTSE. R. MOVITT, M.D., F.A.C.P., B. GERSTL, M.D.E. R. MOVITT, M.D., F.A.C.P., B. GERSTL, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-38-5-981 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAppraisal of the significance of systolic murmurs has undergone various changes in the last few decades. Originally it was thought that every patient with a systolic murmur had heart disease. Thus a diagnosis of mitral insufficiency of rheumatic origin was frequently made solely on the basis of an apical systolic murmur. Many a prospective recruit with such a murmur was rejected for military service even in the absence of any other evidence of cardiac involvement. This point of view was prevalent here and abroad before the first World War. However, as many a soldier with a systolic apical murmur not...Bibliography1. Lewis T: Diseases of the heart, 1933, Macmillan Company, New York. Google Scholar2. White PD: Heart disease, 3d Ed., 1944, Macmillan Company, New York. Google Scholar3. ScherfBoyd DLJ: Cardiovascular diseases, 1947, J. B. Lippincott Company, Philadelphia. Google Scholar4. GorlinLewisHaynesDexter RBMFWL: Studies of the circulatory dynamics at rest in mitral valvular regurgitation with and without stenosis, Am. Heart J. 43: 357, 1952. CrossrefMedlineGoogle Scholar5. Levine SA: Clinical heart disease, 4th Ed., 1951, W. B. Saunders Company, Philadelphia. CrossrefGoogle Scholar6. BlandWhiteJones EFPDTD: The development of mitral stenosis in young people, Am. Heart J. 10: 995, 1934-1935. CrossrefGoogle Scholar7. Friedberg CK: Diseases of the heart, 1949, W. B. Saunders Company, Philadelphia. Google Scholar8. SpragueWhite HBPD: A comparative study of "rheumatic" mitral regurgitation and mitral stenosis, Am. Heart J. 1: 629, 1926. CrossrefGoogle Scholar9. DanaReidy HWJA: Mitral valve disease. Pathologic report, Am. J. M. Sc. 191: 109, 1936. CrossrefGoogle Scholar10. Cabot RC: Facts on the heart, 1926, W. B. Saunders Company, Philadelphia. Google Scholar11. Bass MH: Abt's pediatrics, IV, 1924, W. B. Saunders Company, Philadelphia. Google Scholar12. PoyntonPaine FJA: Researches on rheumatism, 1913, Macmillan Company, New York. Google Scholar13. BaileyGloverO'Neill CPRPTJ: Closed intracardiac tactile surgery, Dis. of Chest 12: 1, 1952. Google Scholar14. Nomenclature and Criteria for Diagnosis of Diseases of the Heart, 4th Ed., New York Heart Association, New York, New York Tuberculosis and Health Association, 1939. Google Scholar15. Cabot Case No. 38231, New England J. Med. 246: 906, 1952. CrossrefMedlineGoogle Scholar16. MillerWedum JBG: Cardiac enlargement in uncomplicated mitral insufficiency in children, Am. J. Dis. Child. 78: 703, 1949. MedlineGoogle Scholar17. BakerSpragueWhite LHBPD: The clinical significance of loud aortic and apical systolic heart murmurs without diastolic murmurs, Am. J. M. Sc. 206: 31, 1943. CrossrefGoogle Scholar18. RytandLipsitch DALS: Clinical aspects of calcification of the mitral annulus fibrosus, Arch. Int. Med. 78: 544, 1946. CrossrefGoogle Scholar19. Levine SA: Some notes on the transmission of heart murmurs, Ann. Int. Med. 21: 298, 1944. LinkGoogle Scholar20. KerrAlthausenBassettGoldman WJTLAMMJ: The symballophone: a modified stethoscope for the lateralization and comparison of sounds, Am. Heart J. 14: 594, 1937. CrossrefGoogle Scholar21. Kerr WJ: The clinical use of the symballophone, West. J. Surg. 49: 632 (Nov.) 1941. Google Scholar22. Fishberg AM: Heart failure, 2nd Ed., 1940, Lea and Febiger, Philadelphia. Google Scholar23. SchwartzBiloon SPS: The clinical signs of occluding thrombi of the left auricle, Am. Heart J. 7: 84, 1931-1932. CrossrefGoogle Scholar24. FrothinghamHaas CGM: Rupture of normal chordae tendineae of mitral valve, Am. Heart J. 9: 492, 1934. CrossrefGoogle Scholar25. ElkinSosmanHarkenDexter MMCDEL: Systolic expansion of the left auricle in mitral regurgitation, New England J. Med. 246: 958, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Oakland, California*Received for publication December 22, 1952.From the Departments of Medicine and Pathology, Veterans Administration Hospital, Oakland, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByMitral valve prolapse in patients with prior rheumatic fever.Clinical Examination and Investigation of the HeartBibliographyAn Unusual Form of Mitral Valve Insufficiency Simulating Aortic StenosisMITRAL VALVE REPLACEMENT IN CHILDRENMurmurs of aortic stenosis and mitral insufficiency masquerading as one anotherAuscultatory and phonocardiographic manifestations of pure mitral regurgitationElectrocardiographic analysis of pure mitral valvular disease: A study based on fifty-seven cases with open-heart operationRelatively Benign "Pure" Mitral Regurgitation of Rheumatic Origin 1 May 1953Volume 38, Issue 5Page: 981-1001KeywordsArmed forcesCardiovascular therapyHospital medicineMitral insufficiencySystolic ejection murmur Issue Published: 1 May 1953 PDF DownloadLoading ...