Origin of the basal systolic murmurs in mitral stenosis. A study with intracardiac phonocardiography.

Abstract:

:In order to study the origin of the basal systolic murmurs in mitral stenosis, left and right heart catheterization was performed in 18 patients with mitral stenosis using intracardiac phonocardiography. Our data revealed that the basal systolic murmurs originated in the aorta, the pulmonary artery, and the outflow tract of the right ventricle. In 14 cases, we noted the maximal ejection systolic murmur in the aorta near the aortic valve. However, in two cases, there was a loud systolic murmur in the pulmonary artery. These murmurs occurred in early to mild-systole and were crescendo-decrescendo in configuration. The pitch of the murmur ranged from low to medium frequency in the majority of cases. They are produced by the turbulence of blood flow in the aorta and the pulmonary artery. A late systolic murmur was also recorded in the outflow tract of the right ventricle in two patients. This is thought to occur due to functional or relative infundibular stenosis of the right ventricle. It differs in location and timing from those in the aorta and the pulmonary artery. The outflow tract of the right ventricle is regarded as the third origin of the basal systolic murmur in mitral stenosis.

journal_name

Am Heart J

journal_title

American heart journal

authors

Kambe T,Suzuki S,Kato T,Hibi N,Fukui Y,Arakawa T,Nishimura K,Miwa A,Sakamoto N

doi

10.1016/0002-8703(78)90163-1

subject

Has Abstract

pub_date

1978-10-01 00:00:00

pages

512-7

issue

4

eissn

0002-8703

issn

1097-6744

pii

0002-8703(78)90163-1

journal_volume

96

pub_type

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