Document Detail

Pathological validation of auscultation of the elderly heart.
MedLine Citation:
PMID:  876924     Owner:  NLM     Status:  MEDLINE    
Systolic murmurs present in 129 geriatric patients followed to post-mortem were assessed as mitral or aortic in origin by simple clinical assessment alone. Post-mortem examination contradicted clinical findings in only 2% of cases. Mitral valve pathology, mostly post-inflammatory scarring or mucoid degeneration, was present in 50% of the cases with murmurs. There was a significant correlation between the presence of murmurs, particularly mitral murmurs, and congestive cardiac failure, and there was also a significant correlation with age. A tendency for aortic systolic murmurs to be associated with a higher mean systolic blood pressure was not significant and there was no significant association between systolic murmurs and ischaemic heart disease.
M J Denham; A Pomerance; H M Hodkinson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  53     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  1977 Feb 
Date Detail:
Created Date:  1977-09-02     Completed Date:  1977-09-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  66-8     Citation Subset:  IM    
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MeSH Terms
Aortic Valve / pathology
Blood Pressure
Heart Auscultation*
Heart Failure / etiology
Heart Valve Diseases / pathology*
Mitral Valve / pathology

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

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