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© 1981 Oxford University Press

research-article

ECHOCARDIOGRAPHY IN ELDERLY PATIENTS WITH SYSTOLIC MURMURS

R. SAINSBURY, Senior Registrar, Geriatric medicine*, T. WHITE, Senior Physiological Measurement Technician and R. WRAY, Consultant Physician (Cardiology)

St Helen's Hospital Hastings, East Sussex

Clinical examination, phonocardiography and echocardiography were performed on 49 elderlypatients with systolic murmurs.

Patients with mitral murmurs had increased left atrial and left ventricular diameters, increasedmitral valve closure rate and excursion with a higher frequency of previous congestive cardiac failure. There was no difference in aortic root diameter or aortic valve excursion between the two groups.

Patients with mitral murmurs were more likely to have an abnormal echocardiogram andabnormalities of mitral valve leaflet function were most commonly observed.


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