Document Detail

Systolic mitral flutter, an echocardiographic clue to the diagnosis of ruptured chordae tendineae.
MedLine Citation:
PMID:  831407     Owner:  NLM     Status:  MEDLINE    
A new finding of fine systolic fluttering of the mitral leaflet is described in two patients with ruptured chordae tendinease and severe mitral regurgitation. The flutter is caused by the action of high-velocity blood flow upon the leaflet margin that has lost its support. The jet stream of blood evokes a high-frequency vibratory motion of the tensed leaflet as opposed to the previously described, lower frequency, less specific, diastolic flutter. This finding was not seen in the echocardiograms of 75 patients with other forms of mitral regurgitation. Systolic flutter appears to be specific for ruptured chordae tendineae.
J F Meyer; M J Frank; S Goldberg; T O Cheng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  93     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1977 Jan 
Date Detail:
Created Date:  1977-02-16     Completed Date:  1977-02-16     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  3-8     Citation Subset:  AIM; IM    
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MeSH Terms
Chordae Tendineae*
Diagnosis, Differential
Heart Murmurs
Middle Aged
Mitral Valve / pathology
Mitral Valve Insufficiency / diagnosis*,  pathology
Rupture, Spontaneous / diagnosis

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