An 81-year-old gentleman with chronic kidney disease presented with pyrexia and a new systolic cardiac murmur. Investigations revealed infective aortitis of a pre-existing aortic aneurysm graft repair. Peripheral blood cultures were positive for Yersinia pseudotuberculosis and the patient was successfully treated with an extended course of antibiotics. Abdominal imaging also revealed progressiv...

Due to a complex of vague symptoms in some patients with a ballooning posterior leaflet (BPL), a s b d a d h d personality inventory test (MMPI) wati given to 14 patients exhibiting a midsystolc click and/or late systolic murmur and a positive echocardiogram for a BPL. Seven of the eight symptom-free patients had normal MMPIs. Of the six symptomatic patients, five bad abnormal scores for hyster...

10. Criley JM, Lewis JB, Humphries JO, Ross RS: Prolapse of the mitral valve: Clinical and cineangio-cardiographic findings. Br Heart J 28: 488, 1966 11. Segal BL, Likoff W: Late systolic murmur of mitral regurgitation. Am Heart J 67: 757, 1964 12. Jeresaty RM: Mitral valve prolapse click syndrome. Prog Cardiovasc Dis 15: 623, 1973 13. Ranganathan N, Silver MD, Robinson TI, Kostuk WJ, Felderhof...

Abstract A 50-year-old female with a history of bileaflet mitral valve prolapse (MVP) was admitted to our Department for persistent palpitation. Physical examination revealed mid-systolic click, followed by mid-to-late apical systolic murmur. The electrocardiogram showed sinus rhythm negative T-waves in inferior leads and repetitive polymorphic premature ventricular contractions (PVCs) right bu...

A murmur was first heard in 1940 by a school physician when the patient was 8 years old. At the age of 19 the boy complained of easy fatigue. In 1951 a harsh systolie murmur, grade III to IV, was heard at the second right interspace near the sternum; it was accompanied by a thrill over the cervical vessels. A diastolic murmur was not heard. A rather loud second aortic sound was noted. The elect...

Case summary A 5-month-old intact female Scottish Fold cat was presented for cardiac evaluation. Careful auscultation detected a slight systolic murmur (Levine I/VI). The findings of electrocardiography, thoracic radiography, non-invasive blood pressure measurements and conventional echocardiographic studies were unremarkable. However, two-dimensional speckle tracking echocardiography revealed ...

Phonocardiograms and carotid pulse tracings were done on a group of 47 patients with all degrees of aortic stenosis and were compared with two groups of normals. Indices evaluated were pre-ejection period, left ventricular ejection time, maximum rate of arterial pulse rise, arterial half rise time (T time) and upstroke time, and timing of the peak intensity of the systolic murmur in relation to...