Graham Steell murmur: Difference between revisions
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A '''Graham Steell murmur''' is a [[heart murmur]] typically associated with [[pulmonary regurgitation]]. It is a high pitched [[early diastolic]] murmur heard best at the left sternal edge in the second [[intercostal space]] with the patient in full [[inhalation|inspiration]]. |
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A '''Graham Steell murmur''' is a [[heart murmur]] typically associated with [[pulmonary regurgitation]].<ref>{{cite book|title=Archives of Diagnosis, Volume 10|date=1918|publisher=University of Chicago|page=60|url=https://books.google.com/books?id=7hUwAQAAMAAJ&q=Graham+Steell+murmur|access-date=27 October 2017}}</ref><ref>{{cite book|title=Heart sounds made incredibly easy!|date=2005|publisher=Lippincott Williams & Wilkins|location=Ambler, Pa.|isbn=9781582553580|page=143}}</ref> It is a high pitched [[early diastolic]] murmur heard best at the left sternal edge in the second [[intercostal space]] with the patient in full [[inhalation|inspiration]], originally described in 1888.{{cn|date=July 2024}} |
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The murmur is heard due to a high [[velocity]] |
The murmur is heard due to a high [[velocity]] flow back across the [[pulmonary valve]]; this is usually a consequence of [[pulmonary hypertension]] secondary to [[mitral valve stenosis]]. The Graham Steell murmur is often heard in patients with chronic [[cor pulmonale]] (pulmonary heart disease) as a result of [[chronic obstructive pulmonary disease]].{{citation needed|date=October 2018}} |
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In cases of mitral obstruction the murmur is occasionally heard over the pulmonary area and below this region, for the distance of an inch or two along the left border of the sternum.<ref name="jose">{{cite book|last1=Jose|first1=V. Jacob|title=Cardiology: Clinical Methods|date=2017|publisher=JP Medical Ltd.|isbn=9789385999451|page=82|language=en}}</ref> It's also rarely over the lowest part of the bone itself, a soft blowing diastolic murmur immediately following P2.<ref name="jose" /> |
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It is named for [[Graham Steell]].<ref name="pmid4433433">{{cite journal |author=McArthur JD, Sukumar IP, Munsi SC, Krishnaswami S, Cherian G |title=Reassessment of Graham Steell murmur using platinum electrode technique |journal=Br Heart J |volume=36 |issue=10 |pages=1023–7 |year=1974 |month=October |pmid=4433433 |pmc=1020054 |doi= 10.1136/hrt.36.10.1023|url=http://heart.bmj.com/cgi/pmidlookup?view=long&pmid=4433433}}</ref><ref name="pmid2023159">{{cite journal |author=Fraser AG, Weston CF |title=The Graham Steell murmur: eponymous serendipity? |journal=J R Coll Physicians Lond |volume=25 |issue=1 |pages=66–70 |year=1991 |month=January |pmid=2023159 |doi= |url=}}</ref> |
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It is named after [[Graham Steell]].<ref>{{cite journal|journal=J R Coll Physicians Lond|date=January 1991|volume=25|issue=1|pages=66–70|pmc=5377079|pmid=2023159|title=The Graham Steell Murmur: Eponymous Serendipity?|author=Fraser, Alan G.|author2=Weston, Clive F. M.}}</ref> |
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==References== |
==References== |
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{{Reflist}} |
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{{Cardiovascular system symptoms and signs}} |
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{{Eponymous medical signs for circulatory and respiratory systems}} |
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[[Category:Heart murmurs]] |
[[Category:Heart murmurs]] |
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[[Category:Symptoms and signs: Circulatory and respiratory systems]] |
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[[pl:Szmer Grahama Steella]] |
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Latest revision as of 16:20, 10 July 2024
| Graham Steell murmur | |
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| Differential diagnosis | pulmonary regurgitation |
A Graham Steell murmur is a heart murmur typically associated with pulmonary regurgitation.[1][2] It is a high pitched early diastolic murmur heard best at the left sternal edge in the second intercostal space with the patient in full inspiration, originally described in 1888.[citation needed]
The murmur is heard due to a high velocity flow back across the pulmonary valve; this is usually a consequence of pulmonary hypertension secondary to mitral valve stenosis. The Graham Steell murmur is often heard in patients with chronic cor pulmonale (pulmonary heart disease) as a result of chronic obstructive pulmonary disease.[citation needed]
In cases of mitral obstruction the murmur is occasionally heard over the pulmonary area and below this region, for the distance of an inch or two along the left border of the sternum.[3] It's also rarely over the lowest part of the bone itself, a soft blowing diastolic murmur immediately following P2.[3]
It is named after Graham Steell.[4]
References
[edit]- ^ Archives of Diagnosis, Volume 10. University of Chicago. 1918. p. 60. Retrieved 27 October 2017.
- ^ Heart sounds made incredibly easy!. Ambler, Pa.: Lippincott Williams & Wilkins. 2005. p. 143. ISBN 9781582553580.
- ^ a b Jose, V. Jacob (2017). Cardiology: Clinical Methods. JP Medical Ltd. p. 82. ISBN 9789385999451.
- ^ Fraser, Alan G.; Weston, Clive F. M. (January 1991). "The Graham Steell Murmur: Eponymous Serendipity?". J R Coll Physicians Lond. 25 (1): 66–70. PMC 5377079. PMID 2023159.
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