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Double diastolic murmur in mitral stenosis with atrial fibrillation and complete heart block.

作者信息

Toutouzas P, Velimezis A, Avgoustakis D

出版信息

Br Heart J. 1980 Jan;43(1):92-4. doi: 10.1136/hrt.43.1.92.

Abstract

A double diastolic murmur was heard in a patient with mitral stenosis, atrial fibrillation, and complete heart block. Echo-phonocardiographic examination showed two separate opening and closing movements of the mitral valve in the same long diastole. A clear time relation was observed between the valve closing movements and the separate diastolic murmurs, giving support to the theory that the backward motion of the mitral valve against the forward blood flow through the valve is responsible for the production of these murmurs.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eacc/482247/dbc31066dd11/brheartj00191-0100-a.jpg

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本文引用的文献

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Mitral valve closure and the crescendo presystolic murmur.
Am J Med. 1971 Oct;51(4):456-65. doi: 10.1016/0002-9343(71)90251-8.
3
On the mechanism of the Austin Flint murmur.关于奥-弗杂音的机制。
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4
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Br Heart J. 1973 Jan;35(1):75-81. doi: 10.1136/hrt.35.1.75.
5
Haemodynamic and sound events preceding first heart sound in mitral stenosis.
Br Heart J. 1972 Nov;34(11):1152-5. doi: 10.1136/hrt.34.11.1152.
7
Presystolic murmur in atrial fibrillation: fact or fiction?
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