Eponyms and the Diagnosis of Aortic Regurgitation: What Says the Evidence?

@article{Babu2003EponymsAT,
  title={Eponyms and the Diagnosis of Aortic Regurgitation: What Says the Evidence?},
  author={Ajit N. Babu and Steven M. Kymes and Sharon M Carpenter Fryer},
  journal={Annals of Internal Medicine},
  year={2003},
  volume={138},
  pages={736-742}
}
Clinical Scenario You are presiding over morning report, but the pickings seem slim. It was a quiet night for the on-call team, and the only admission was an 82-year-old man with dehydration who was transferred from a nursing home. His medical history was significant for hypertension and rheumatic heart disease. On physical examination, the resident thought he heard an early diastolic murmur at the aortic area but was unsure of its significance. He suggests echocardiography for further… Expand
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The above scenario illustrates another complaint — that textbook descriptions of disease often omit information about the frequency and temporal characteristics of clinical manifestations in patients with the disorder, even when good evidence from clinical care research exists. Expand
"SILENT" RHEUMATIC AORTIC REGURGITATION.
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Sixteen patients with rheumatic valvular disease are presented in whom the murmur of aortic regurgitation could not be heard and yet cineaortography confirmed the presence of significant aorti valve incompetence, and the indications of left ventricular pathophysiology may erroneously be ascribed to them alone rather than to the additional presence of “silent” aorta regurgiton. Expand
THE CLINICAL EVALUATION OF AORTIC REGURGITATION, WITH SPECIAL REFERENCE TO A NEGLECTED SIGN: THE POPLITEAL-BRACHIAL PRESSURE GRADIENT.
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Little has been added to the evaluation of this aortic regurgitation, except for the description of various radiologic and electrocardiographic criteria of left ventricular enlargement and hypertrophy, which are pathologic concomitants of the disease. Expand
TWO MECHANISMS IN THE PRODUCTION OF DUROZIEZ'S SIGN: THEIR DIAGNOSTIC SIGNIFICANCE AND A CLINICAL TEST FOR DIFFERENTIATING BETWEEN THEM
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The purpose in this communication is to present the results of a study which permit a clearer understanding of the meaning of peripheral vascular signs and so help to resolve the clinical difficulties mentioned. Expand
Reappraisal of cardiac murmurs related to aortic regurgitation.
TLDR
Both systolic and diastolic murmurs can be heard in most patients with moderate to severe AR, and a large proportion of subjects with mild AR have syStolic murmur alone. Expand
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TLDR
Hill's sign, a popliteal indirect systolic blood pressure which is almost unknown, is useful in diagnosing all but the mild cases of aortic insufficiency, and is the only sign that may predict the degree of aORTic insUFFiciency subsequently found angiographically. Expand
The rational clinical examination. Does this patient have aortic regurgitation?
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Clinical examination by cardiologists is accurate for detecting aortic regurgitation, but not enough is known about the examinations of less-expert clinicians. Expand
The Austin Flint murmur. Phonocardiographic and patho-anatomical study.
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The importance of aortic regurgitant jet on the ventricular surface of the anterior leaflet of the mitral valve was stressed as a cause of this particular functional mitral stenosis. Expand
On the pathogenesis of the signs of traube and duroziez in aortic insufficiency. A graphic study
TLDR
Drugs which stimulate the circulation may cause the appearance of the double murmur of Duroziez in normal persons and a common explanation of the mechanism is furnished for both patients with and without aortic insufficiency. Expand
Experimental and clinical investigation of the pulse and blood pressure changes in aortic insufficiency
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The discrepancy between the sphygmographic tracings and the subjective notes is well exemplified in the examination of the records of patients observed in the Johns Hopkins Hospital during the past four years, in which the pulse was described. Expand
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