Intensity of murmurs correlates with severity of valvular regurgitation

American Journal of Medicine

Volumn 100, Issue 2, 1996, Pages 149-156

  Desjardins, Valerie A ^a   Enriquez Sarano, Maurice ^a   Tajik, A Jamil ^a   Bailey, Kent R ^a   Seward, James B ^a  

^a MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AORTA VALVE REGURGITATION; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION FUNCTION; DISEASE SEVERITY; DOPPLER ECHOCARDIOGRAPHY; FEMALE; HEART AUSCULTATION; HEART MURMUR; HUMAN; MAJOR CLINICAL STUDY; MALE; MITRAL VALVE REGURGITATION; PRIORITY JOURNAL; SOUND INTENSITY;

EID: 0030028564     PISSN: 00029343     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-9343(97)89452-1     Document Type: Article

References (48)

1. Stollerman GH, Rheumatic fever and other rheumatic disease of the heart. In: Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. 4th ed. Philadelphia: WB Saunders, 1992:1721.
2. Klein AL, Burstow DJ, Tajik AJ, et al. Age-related prevalence of valvular regurgitation in normal subjects: a comprehensive color flow examination of 118 volunteers. J Am Soc Echocardiogr. 1990;3:54-63.
3. Meyers DG, Olson TS, Hansen DA. Auscultation, M-mode echocardiography and pulsed Doppler echocardiography compared with angiography for diagnosis of chronic aortic regurgitation. Am J Cardiol. 1985;56:811-812.
4. Grayburn PA, Smith MD, Handshoe R, et al. Detection of aortic insufficiency by standard echocardiography, pulsed Doppler echocardiography, and auscultation: a comparison of accuracies. Ann Intern Med. 1986;104:599-605.
5. Meyers DG, Sagar KB, Ingram RF, et al. Diagnosis of aortic insufficiency: comparison of auscultation and M-mode echocardiography to angiography. South Med J. 1982;75:1192-1194.
6. Sadanandan S, Lee E, Khan S, et al. Diagnostic accuracy of auscultation in aortic regurgitation. J Am Coll Cardiol. 1988;11 Suppl:175A. Abstract.
7. Rahko PS. Prevalence of regurgitant murmurs in patients with valvular regurgitation detected by Doppler echocardiography. Ann Intern Med. 1989;111:466-472.
8. Braunwald EA. Heart Disease: A Textbook of Cardiovascular Medicine. 4th ed. Philadelphia: WB Saunders; 1992:34.
9. Constant J. Bedside Cardiology. 4th ed. Boston: Little, Brown and Company; 1993:259.
10. Chen CG, Thomas JD, Anconina J, et al. Impact of impinging wall jet on color Doppler quantification of mitral regurgitation. Circulation. 1991;84:712-720.
11. Enriquez-Sarano M, Tajik AJ, Bailey KR, Seward JB. Color flow imaging compared with quantitative Doppler assessment of severity of mitral regurgitation: influence of eccentricity of jet and mechanism of regurgitation. J Am Coll Cardiol. 1993;21:1211-1219.
12. Croft CH, Lipscomb K, Mathis K, et al. Limitations of qualitative angiographic grading in aortic or mitral regurgitation. Am J Cardiol. 1984;53:1593-1598.
13. Lopez JF, Hanson S, Orchard RC, Tan L. Quantification of mitral valvular incompetence. Cathet Cardiovasc Diagn. 1985;11:139-152.
14. Slater J, Gindea AJ, Freedberg RS, et al. Comparison of cardiac catheterization and Doppler echocardiography in the decision to operate in aortic and mitral valve disease. J Am Coll Cardiol. 1991;17:1026-1036.
15. Jaffe WM, Roche AH, Coverdale HA, et al. Clinical evaluation versus Doppler echocardiography in the quantitative assessment of valvular heart disease. Circulation. 1988;78:267-275.
16. Alpert JS, Sloss LJ, Cohn PF, Grossman W. The diagnostic accuracy of combined clinical and noninvasive cardiac evaluation: comparison with findings at cardiac catheterization. Cathet Cardiovasc Diagn. 1980;6:359-370.
17. Rokey R, Sterling LL, Zoghbi WA, et al. Determination of regurgitant fraction in isolated mitral or aortic regurgitation by pulsed Doppler two-dimensional echocardiography. J Am Coll Cardiol. 1986;7:1273-1278.
18. Blumlein S, Bouchard A, Schiller NB, et al. Quantitation of mitral regurgitation by Doppler echocardiography. Circulation. 1986;74:306-314.
19. Enriquez-Sarano M, Bailey KR, Seward JB, et al. Quantitative Doppler assessment of valvular regurgitation. Circulation. 1993;87:841-848.
20. Izumi S, Miyatake K, Beppu S, et al. Mechanism of mitral regurgitation in patients with myocardial infarction: a study using real-time two-dimensional Doppler flow imaging and echocardiography. Circulation. 1987;76:777-785.
21. Boltwood CM, Tei C, Wong M, Shah PM. Quantitative echocardiography of the mitral complex in dilated cardiomyopathy: the mechanism of functional mitral regurgitation. Circulation. 1983;68:498-508.
22. Tajik AJ, Seward JB, Hagler DJ, et al. Two-dimensional real-time ultrasonic imaging of the heart and great vessels, technique, image orientation, structure identification, and validation. Mayo Clin Proc. 1978;53:271-303.
23. Nishimura RA, Miller FA Jr., Callahan MJ, et al. Doppler echocardiography: theory, instrumentation, technique, and application. Mayo Clin Proc. 1985;60:321-343.
24. Schiller NB, Shah PM, Crawford M, et al. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr. 1989;2:358-367.
25. Currie PJ, Seward JB, Chan KL, et al. Continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol. 1985;6:750-756.
26. Lewis JF, Kuo LC, Nelson JG, et al. Pulsed Doppler echocardiographic determination of stroke volume and cardiac output: clinical validation of two new methods using the apical window. Circulation. 1984;70:425-431.
27. Perloff JK, Harvey WP. Auscultatory and phonocardiographic manifestations of pure mitral regurgitation. Prog Cardiovasc Dis. 1962;5:172-194.
28. Emi S, Fukuda N, Oki T, et al. Genesis of the Austin Flint murmur: relation to mitral inflow and aortic regurgitant flow dynamics. J Am Coll Cardiol. 1993;21:1399-1405.
29. Yoran C, Yellin EL, Becker RM, et al. Dynamic aspects of acute mitral regurgitation: effects of ventricular volume, pressure and contractility on the effective regurgitant orifice area. Circulation. 1979;60:170-176.
30. Lembo NJ, Dell'Italia LJ, Crawford MH, O'Rourke RA. Bedside diagnosis of systolic murmurs. NEJM. 1988;318:1572-1578.
31. Tavel ME. Clinical Phonocardiography and External Pulse Recording. 3rd ed. Chicago: Year Book Medical Publishers; 1978.
32. Forrester JS, Diamond G, Freedman S, et al. Silent mitral insufficiency in acute myocardial infarction. Circulation. 1971;44:877-883.
33. Chatterjee K. Bedside evaluation of the heart: the physical examination. In: Parmley WW, Chatterjee K, eds. Physiology, Pharmacology, Diagnosis. Vol. 1. Chapter 31. Philadelphia: JB Lippincott; 1992:1-55.
34. Hickey MS, Smith LR, Muhbaier LH, et al. Current prognosis of ischemic mitral regurgitation. Implications for future management. Circulation. 1988;78:I51-I59.
35. Blondheim DS, Jacobs LE, Kotler MN, et al. Dilated cardiomyopathy with mitral regurgitation: decreased survival despite a low frequency of left ventricular thrombus. Am Heart J. 1991;122:763-771.
36. Gahl K, Sutton R, Pearson M, et al. Mitral regurgitation in coronary heart disease. Br Heart J. 1977;39:13-18.
37. Enriquez-Sarano M, Seward JB, Bailey KR, Tajik AJ. Effective regurgitant orifice area: a noninvasive Doppler development of an old hemodynamic concept. J Am Coll Cardiol. 1994;23:443-451.
38. Vandervoort PM, Rivera JM, Mele D, et al. Application of color Doppler flow mapping to calculate effective regurgitant orifice area: an in vitro study and initial clinical observations. Circulation. 1993;88:1150-1156.
39. Folland ED, Kriegel BJ, Henderson WG, et al. Implications of third heart sounds in patients with valvular heart disease. The Veterans Affairs Cooperative Study on Valvular Heart Disease. NEJM. 1992;327:458-462.
40. Frank MJ, Casanegra P, Migliori AJ, Levinson GE. The clinical evaluation of aortic regurgitation: with special reference to a neglected sign: the poplitealbrachial pressure gradient. Arch Intern Med. 1965;116:357-365.
41. Enriquez-Sarano M, Kaneshige AM, Tajik AJ, et al. Amplitude-weighted mean velocity: clinical utilization for quantitation of mitral regurgitation. J Am Coll Cardiol. 1993;22:1684-1690.
42. Iliceto S, D'Ambrosio G, Amico A, et al. Errors in measurements of stroke volume for invasive and echo-Doppler evaluations of valvular regurgitant fractions: clinical evaluation and computer simulation. Eur Heart J. 1990;11:355-360.
43. Erbel R, Schweizer P, Lambertz H, et al. Echoventriculography - a simultaneous analysis of two-dimensional echocardiography and cineventriculography. Circulation. 1983;67:205-215.
44. Gorge G, Erbel R, Brennecke R, et al. High-resolution two-dimensional echocardiography improves the quantification of left ventricular function. J Am Soc Echocardiogr. 1992;5:125-134.
45. Globits S, Frank H, Mayr H, et al. Quantitative assessment of aortic regurgitation by magnetic resonance imaging. Eur Heart J. 1992;13:78-83.
46. Sutton GC, Craige E. Clinical signs of severe acute mitral regurgitation. Am J Cardiol. 1967;20:141-144.
47. Segal BL, Likoff W, Kaspar AJ. "Silent" rheumatic aortic regurgitation. Am J Cardiol. 1964;14:628-632.
48. Kinney EL. Causes of false-negative auscultation of regurgitant lesions: a Doppler echocardiographic study of 294 patients. J Gen Intern Med. 1988;3:429-434.