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© 1986 Oxford University Press

research-article

ECHOCARDIOGRAPHIC DIAGNOSES IN ELDERLY PATIENTS WITH SYSTOLIC MURMURS AND CARDIAC DISEASE

PAUL V. KNIGHT, Lecturer, BRENDAN J. MARTIN, Senior Registrar in Geriatric Medicine* and DAVID BALLANTYNE, Consultant Physician and Cardiologist

University Department of Geriatric Medicine, Southern General Hospital Glasgow G51 4TF
Victoria Genatric Unit Glasgow G41 3DX
Victoria Infirmary Glasgow G42

*Present appointment: Consultant Physician in Geriatric Medicine, Lightburn Hospital, Glasgow.

M-mode and ‘real-time’ echocardiography was employed to study 100 elderly with systolic murmurs and cardiac disease. Technically adequate recordings were obtained in 89 patients. Independent assessment of the echocardiographs showed good reproducibility. Aortic sclerosis was the most prevalent lesion, but did not by itself impair left ventricular function. The echocardiographic diagnosis of mitral regurgitation was significantly related to heart failure and atrial fibrillation. A link between murmur and cardiac disease was postulated in 40% of cases.

accepted in revised form December 12, 1985.


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[Abstract] [PDF]


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