M-mode, two-dimensional and Doppler echocardiography were used to assess the comparative value of each in the detection of clinically diagnosed mitral valve prolapse; 125 consecutive patients with a mid- to late systolic click, with or without a late systolic murmur, were included. There were 46 men and 79 women; their mean age was 42 years. M-mode echocardiography detected 62 of 125 cases (sen...

Marked changes in the auscultatory pattern with posture have been noted in patients with mid-systolic clicks and/or late systolic murmurs (MSC-LSM). MSC tend to move earlier in systole and LSM become longer and often louder when patients assume upright posture. Systolic prolapse of the mitral leaflets with mild regurgitation account for MSC-LSM; earlier and greater prolapse with more and prolon...

We report the presence of an unusual systolic murmur associated with a traumatic left ventricular pseudoaneurysm. Echophonocardiographic studies showed the murmur to begin at the first heart sound, but end well before the second heart sound. It seems likely that the murmur is caused by the systolic flow of blood from the left ventricle into the relatively noncompliant pseudoaneurysm. The echoca...

In this report we describe a child who had an apical systolic click and murmur, as well as widespread cutaneous neurofibromatosis. We were not able to show an anatomical basis for the click and murmur.

A 31 year old man, admitted because of acute onset of fever and chills as well as anorexia and weakness. Positive findings included an ejection systolic murmur a W.B.C of 15200 with Eosino­phillia;a R.B.B.B. Pattern in E.C.G., a lobulated mass in upper part of the septum in Echocardio­gram. Patient underwent cardiac surgery with tricuspid replacement, and diagnosis of Hydatid cyst was confirmed. 

CONTEXT Patients with undifferentiated systolic murmurs present commonly during the perioperative period. Traditional bedside assessment and auscultation has not changed significantly in almost 200 years and relies on interpreting indirect acoustic events as a means of evaluating underlying cardiac pathology. This is notoriously inaccurate, even in expert cardiology hands, since many different ...

Echocardiography has been accepted as the diagnostic modality of choice for mitral valve prolapse (MVP). The determine the effect of position on echocardiographic diagnosis of MVP, we examined 693 consecutive patients referred to the echocardiography laboratory because of suspected MVP. First, patients were examined using the usual standard M-Mode echocardiography( left parasternal third or fou...

Nineteen of 28 (67%) Greyhounds enrolled in the Blood Donor Program at The Veterinary Teaching Hospital, The Ohio State University (Columbus, OH), had a left basilar systolic murmur. Ten Greyhounds with murmurs and 9 without murmurs were evaluated to gain knowledge about the pathogenesis of this murmur. Echocardiograms were performed without sedation by means of a GE Vivid 7 Echocardiographic S...

Ebstein anomaly is the fourth most frequent cyanotic heart disease in neonatal period, and its clinical course slow compared to other diseases, which turn results late diagnosis of this condition. We present a case 37-year-old man who complained palpitation for about 5 years, twice week, at rest, with prolonged duration low systemic output. Auscultation revealed irregular rhythm characterized b...