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Still's Murmur

Still's Murmur Abstract Sir.—I enjoyed reading Dr McNamara's scholarly editorial "The Pediatrician and the Innocent Heart Murmur."1 As usual, Dr McNamara made a lucid presentation of a rather complex subject. Among his descriptions of the four common functional heart murmurs, that of the Still's murmur deserves additional comment. Dr McNamara correctly characterized Still's murmur as an aortic vibratory murmur. Although Still's murmur was originally thought to be due to trigonoidation of the pulmonic valve cusps in systole,2 more recent work has shown that it originates from the aortic or subaortic region.3 Although Dr McNamara appropriately called Still's murmur an aortic murmur—a concept not too familiar to adult cardiologists—he forgot to point out that it is usually heard along the left sternal border instead of the so-called aortic area in the right second intercostal space.4 References 1. McNamara DG: The pediatrician and the innocent heart murmur . AJDC 1987;141:1161. 2. McKusick VA: Cardiovascular Sound in Health and Disease . Baltimore, Williams & Wilkins, 1958, p 244. 3. Wennevold A: The origin of the innocent 'vibratory' murmur studied with intracardiac phonocardiography . Acta Med Scand 1967;181: 1-5.Crossref 4. Cheng TO: The International Textbook of Cardiology . Elmsford, NY, Pergamon Press Inc, 1986, p 41. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Still's Murmur

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Still's Murmur

Abstract

Abstract Sir.—I enjoyed reading Dr McNamara's scholarly editorial "The Pediatrician and the Innocent Heart Murmur."1 As usual, Dr McNamara made a lucid presentation of a rather complex subject. Among his descriptions of the four common functional heart murmurs, that of the Still's murmur deserves additional comment. Dr McNamara correctly characterized Still's murmur as an aortic vibratory murmur. Although Still's murmur was originally thought to be due to...
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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1988.02150040066015
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—I enjoyed reading Dr McNamara's scholarly editorial "The Pediatrician and the Innocent Heart Murmur."1 As usual, Dr McNamara made a lucid presentation of a rather complex subject. Among his descriptions of the four common functional heart murmurs, that of the Still's murmur deserves additional comment. Dr McNamara correctly characterized Still's murmur as an aortic vibratory murmur. Although Still's murmur was originally thought to be due to trigonoidation of the pulmonic valve cusps in systole,2 more recent work has shown that it originates from the aortic or subaortic region.3 Although Dr McNamara appropriately called Still's murmur an aortic murmur—a concept not too familiar to adult cardiologists—he forgot to point out that it is usually heard along the left sternal border instead of the so-called aortic area in the right second intercostal space.4 References 1. McNamara DG: The pediatrician and the innocent heart murmur . AJDC 1987;141:1161. 2. McKusick VA: Cardiovascular Sound in Health and Disease . Baltimore, Williams & Wilkins, 1958, p 244. 3. Wennevold A: The origin of the innocent 'vibratory' murmur studied with intracardiac phonocardiography . Acta Med Scand 1967;181: 1-5.Crossref 4. Cheng TO: The International Textbook of Cardiology . Elmsford, NY, Pergamon Press Inc, 1986, p 41.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Apr 1, 1988

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