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ARTICLE |

Ambiguous Heart Murmurs Clarified by Echocardiogram FREE

Bahram Eslami, MD; David Roitman, MD; L. Thomas Sheffield, MD
[+] Author Affiliations

Reprint requests to 1919 Seventh Ave, Birmingham, AL 35233 (Dr. Eslami).


JAMA. 1974;230(6):873-876. doi:10.1001/jama.1974.03240060043031
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Echocardiograms provided the basis for complete diagnoses of the following conditions: (1) idiopathic hypertrophic subaortic stenosis in five patients in the absence of typical physical findings; (2) left atrial myxoma in two patients with clinical features of mitral stenosis, and right atrial myxoma in a patient with a heart murmur (one of a total of five); (3) right ventricular volume overload in three patients with atrial septal defect and one patient with tricuspid regurgitation; (4) combined mitral and aortic valve disease in three patients. In five other patients with mitral stenosis unsuspected aortic stenosis was demonstrated. Echocardiography is a valuable aid in cardiac diagnosis.

(JAMA 230:873-876, 1974)

REFERENCES

Feigenbaum H:  Clinical applications of echocardiography . Prog Cardiovasc Dis 14:531-558, 1972;.
Gramiak R, Shaw PM:  Echocardiography of the normal and diseased aortic valve . Radiology 96:1-8, 1970;.
Popp RL, Harrison DC:  Ultrasound in the diagnosis and evaluation of therapy of idiopathic hypertrophic subaortic stenosis . Circulation 40:905-914, 1969;.
Braunwald E, et al:  Idiopathic hypertrophic subaortic stenosis: I. A description of the disease based upon an analysis of 64 patients . Circulation 30 ( (suppl 4) ):3-119, 1964;.
Diamond MA, et al:  Echocardiographic features of atrial septal defect . Circulation 43:129-135, 1971;.
Effert S:  Pre- and post operative evaluation of mitral stenosis by ultrasound . Am J Cardiol 19:59-65, 1967;.
Joyner CR, et al:  Preoperative determination of the functional anatomy of the mitral valve . Circulation 32 ( (suppl 2) ):120, 1965;.
Pridie RB, Benham R, Oakley CM:  Echocardiography of the mitral valve in aortic valve disease . Br Heart J 33:296-304, 1971;.
Fortuin NJ, Craige E:  On the mechanism of the Austin-Flint murmur . Circulation 45:558-570, 1972;.
Harbold NB, Gau GT:  Echocardiographic diagnosis of right atrial myxoma . Mayo Clin Proc 48:284-286, 1973;.
Waxier EB, Kawai N, Kasparian H:  Right atrial myxoma: Echocardiographic, phonocardiographic and hemodynamic signs . Am Heart J 83:251-257, 1972;.

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Feigenbaum H:  Clinical applications of echocardiography . Prog Cardiovasc Dis 14:531-558, 1972;.
Gramiak R, Shaw PM:  Echocardiography of the normal and diseased aortic valve . Radiology 96:1-8, 1970;.
Popp RL, Harrison DC:  Ultrasound in the diagnosis and evaluation of therapy of idiopathic hypertrophic subaortic stenosis . Circulation 40:905-914, 1969;.
Braunwald E, et al:  Idiopathic hypertrophic subaortic stenosis: I. A description of the disease based upon an analysis of 64 patients . Circulation 30 ( (suppl 4) ):3-119, 1964;.
Diamond MA, et al:  Echocardiographic features of atrial septal defect . Circulation 43:129-135, 1971;.
Effert S:  Pre- and post operative evaluation of mitral stenosis by ultrasound . Am J Cardiol 19:59-65, 1967;.
Joyner CR, et al:  Preoperative determination of the functional anatomy of the mitral valve . Circulation 32 ( (suppl 2) ):120, 1965;.
Pridie RB, Benham R, Oakley CM:  Echocardiography of the mitral valve in aortic valve disease . Br Heart J 33:296-304, 1971;.
Fortuin NJ, Craige E:  On the mechanism of the Austin-Flint murmur . Circulation 45:558-570, 1972;.
Harbold NB, Gau GT:  Echocardiographic diagnosis of right atrial myxoma . Mayo Clin Proc 48:284-286, 1973;.
Waxier EB, Kawai N, Kasparian H:  Right atrial myxoma: Echocardiographic, phonocardiographic and hemodynamic signs . Am Heart J 83:251-257, 1972;.
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