Document Detail

Late systolic murmur of rheumatic mitral insufficiency.
MedLine Citation:
PMID:  1114997     Owner:  NLM     Status:  MEDLINE    
Of 184 patients with acute rheumatic fever and associated mitral insufficiency encountered during a 15 year period, 34 manifested a mid-late systolic murmur or a nonejection click, or both, during the course of follow-up. The mid-late systolic murmur later disappeared in four patients whose condition is now considered normal. In one of the four, systolic prolapse of the mitral valve was demonstrated on an angiocardiogram obtained when the systolic murmur was present. Since disappearance of the murmur there has been no evidence of systolic prolapse on meticulous echocardiographic study of the mitral valve. In another child with angiographically demonstrated systolic prolapse of the mitral valve the systolic murmur has also disappeared, but systolic prolapse is still evident on echocardiographic study. None of the 34 patients with a mid-late systolic murmur manifested the T wave abnormalities commonly associated with the familial variety of mitral valve prolapse.
L Steinfeld; I Dimich; H Rappaport; M Baron
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  35     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1975 Mar 
Date Detail:
Created Date:  1975-05-10     Completed Date:  1975-05-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  397-401     Citation Subset:  AIM; IM    
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MeSH Terms
Acute Disease
Follow-Up Studies
Heart Atria / radiography
Heart Auscultation*
Heart Valve Diseases / etiology,  radiography
Heart Ventricles / radiography
Mitral Valve / radiography
Mitral Valve Insufficiency / diagnosis*,  etiology
Myocarditis / diagnosis,  etiology
Rheumatic Fever / complications*,  diagnosis
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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