Abstract
Heart sounds are caused by turbulence in blood or vibration of cardiac and vascular structures. This turbulence is caused by acceleration or deceleration of blood flow or blood flowing through an orifice or across a surface that is rough or uneven. When heart valves are stenotic or calcified, the valves themselves may create a sound. However heavily calcified, stenotic valves do not move well and therefore are often not capable of creating heart sounds loud enough to be heard.
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References
Hurst JW. Cardiovascular diagnosis; the initial examination. St. Louis: Mosby, 1993:1–191.
Abrams JA. Essentials of cardiac physical diagnosis. Philadelphia: Lea & Febiger, 1987:3–421.
Xu M, McHaffie DJ. Nonspecific systolic murmurs: an audit of the clinical value of echocardiography. NZ Med J 1993; 106:54–6.
Lemmbo NJ, Dell’Italia LJ, Crawford MH, O’Rourke RA. Bedside diagnosis of systolic murmurs. N Engl J Med 1988; 318:1572–8.
Oboler SK, LaForce FM. The periodic physical examination in asymptomatic adults. Ann Intern Med 1989;110:214–26.
Harvey WP. Cardiac pearls. Dis Mon 1994;40:41–113.
Strong WB, Steed D. Cardiovascular evaluation of the young athlete. Prim Care 1984;11:61–75.
Nishmura RA. The valsalva maneuver and response revisited. Mayo Clin Proc 1986;61:211–17.
Stapleton JF. Natural history of chronic valvular disease. Cardiovasc Clin 1986;16:105–47.
Saenz A, Hopkins CB, Humphries JO. Valvular heart disease. In: Chung EK, editor. Quick reference to cardiovascular diseases. Baltimore: Williams & Wilkins, 1987:71–92.
Bush DE, Healy BP. Cardiomyopathies. In: Chung EK, editor. Quick reference to cardiovascular diseases. Baltimore: Williams & Wilkins, 1987:111–23.
Goldfield N, Neinstein L, Wohlgelernter D. Cardiovascular evaluation of adolescents and young adults: salient aspects of the examination. Postgrad Med 1986;79:111–19.
Fontana ME, Sparks EA, Harsios B, Wooley CF. Mitral valve prolapse and the mitral valve prolapse syndrome. Curr Probl Cardiol 1991;16:315–368.
Fukuda M, Oki T, Iuchi A, et al. Predisposing factors for severe mitral regurgitation in idiopathic mitral valve prolapse. Am J Cardiol 1995;76:503–7.
Dalen JE, Alpert JS, editors. Valvular heart disease. Boston: Little, Brown, 1987.
Rackley CE, Edwards JE, Wallace RB, Katz NM. Aortic valve disease. In: Hurst JW, Schlant RC, Rackley CE, Sonnenblick EH, Wenger NK, editors. The heart. New York: McGrawHill, 1990:795–851 and 1465–89.
Rackley CE, Edwards JE, Karp RB. Mitral valve disease. In: Hurst JW, Schlant RC, Rackley CE, Sonnenblick EH, Wenger NK, editors. The heart. New York: McGraw-Hill, 1990:820–51.
McAnulty JH, Metcalfe J, Ueland K. Heart disease and pregnancy. In: Hurst JW, Schlant RC, Rackley CE, Sonnenblick EH, Wenger NK, editors. The heart. New York: McGrawHill, 1990:1465–78.
Buttrick PM, Scheuer J. Exercise and the heart: conditioning, training, the athlete’s heart and sudden death. In Hurst JW, Schlant RC, Rackley CE, Sonnenblick EH, Wenger NK, editors. The heart. New York: McGraw-Hill, 1990:1479–87.
Feroli K, Fallia M. Heart murmur. J Pediatr Health Care 1993;233:251–2.
Smythe JF, Teixeira OH, Vlad P, Demers PP, Feldman W. Initial evaluation of heart murmurs: are laboratory tests necessary? Pediatrics 1991;87:952–3.
McCrindle BE, Schaffer KM, Kan JS, Jahka, KG, Rowe SA, Kidd L. An evaluation of parental concerns and misperceptions about heart murmurs. Clin Pediatr 1995;34:25–31.
Burton DA, Cabalka AK. Cardiac evaluation of infants: the first year of life. Pediatr Clin North Am 1994;41:991–1015.
Danford DA, Nasir A, Grumbiner C. Cost assessment of the evaluation of heart murmurs in children. Pediatrics 1993; 91:365–8.
Hansen LK, Birkabaek NH, Oxhoj H. Initial evaluation of children with heart murmurs by the nonspecialized paediatrician. Eur J Pediatr 1995;54:15–17.
Mishra M, Chambers JB, Jackson G. Murmurs in pregnancy: an audit of echocardiography. BMJ 1992;304:1413–14.
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Walsh, E. (1998). Heart Sounds, Murmurs, and Valvular Heart Disease. In: Taylor, R.B., David, A.K., Johnson, T.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2947-4_78
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DOI: https://doi.org/10.1007/978-1-4757-2947-4_78
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