A survey was conducted on 12 050 Black schoolchildren, aged 2 to 18 years, in the South Western Townships of Johannesburg (Soweto), and the prevalence of non-ejection systolic clicks and late systolic murmurs was determined. One or both of these auscultatory findings were detected in 168 children, yielding a prevalence rate of 13-99 per 1000 in the school population. A female preponderance of 1...

We present an unusual case of cardiomyopathy in a two month old male infant with a grade-I systolic murmur. Echocardiographic examination disclosed left ventricular (LV), dysplasia with saw-tooth like inwards myocardial projections extending from the lateral walls towards the LV cavity. There was mild LV systolic dysfunction with apical hypokinesia. Cardiovascular magnetic resonance demonstrate...

conclusions the vibratory innocent murmur is associated with the presence of left ventricular false tendon and higher left ventricular outflow tract velocity. the presence of the left ventricular false tendon was somewhat associated with decreased early diastolic myocardial velocity. normal left ventricular systolic and diastolic function can be used as a reassurance in cases with the vibratory...

THE PROLAPSED MITRAL VALVE, or clickmurmur syndrome, continues to evoke interest, concern and controversy. Although the midsystolic click and late systolic murmur were well described in the late 19th century,1 it was not until 1961 that Reid2 suggested the mitral valve as the cause of the click and mitral insufficiency as the cause of the murmur. This was confirmed by angiocardiography and phon...

With the increase in the number of high speed motor vehicle accidents, blunt, non-penetrating trauma to the heart has become an important health problem. An unusual case is reported of a 15 year old boy urgently referred with cardiac tamponade and a new systolic murmur four months after a car accident. The problems of the diagnosis and possible causes of late cardiac tamponade and tricuspid reg...