Abstract:
:Acute hypoxemia produces opposite effects on the pulmonary and systemic vascular resistance. To assess the influence of acute hypoxemia on cardiac murmurs, 36 patients with a single valvular or congenital heart lesion were studied. As expected from these hemodynamic effects, right-sided regurgitant type murmurs increased in intensity during acute hypoxemia, while stenotic type murmurs were reduced. In contrast, left-sided murmurs remained constant or changed in opposite direction to their equivalent type from the right side. Additionally, acute hypoxemia produced a marked reduction of the murmurs due to left-to-right shunts and allowed an adequate differentiation of the murmurs due to ventricular septal defect from those due to mitral incompetence.
journal_name
Chestjournal_title
Chestauthors
Curiel R,Tortoledo F,Rodriguez L,Soto R,Perez-Gonzalez Jdoi
10.1378/chest.81.2.159subject
Has Abstractpub_date
1982-02-01 00:00:00pages
159-65issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(15)33786-7journal_volume
81pub_type
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