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The Musical Diastolic Murmur of Aortic Insufficiency

경북의대잡지 1965년 6권 1호 p.73 ~ 78
 ( Suh Choo-Young ) - Kyungpook University School of Medicine Department fo Internal Medicine

 ( Bae Dong-Jick ) - Fatima Hospital Department of Internal Medicine

Abstract


Three patients with unusual musical aortic diastolic murmur have been observed within a 5 year period.
The murmurs have been produced by aortic insufficiency due to syphilitic valvulitis, bacterial endocarditis or acute rheumatic valvulitis.
Appearance of the murmur was generally followed by the congestive heart failure and disappeared as the pathologic conditions regressed in the latter two cases.
The mechanism of the production of the musical murmur and its effects in altering the cardiovascular dynamics are discussed.
A description of the phonocardiographic records in the various etiologic groups is presented. The underlying etiology of the murmur can not be determined by the time of onset of the murmur with relation to the second heart sound, or by its graphic representation in the phonocardiographic record.

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