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New Cardiac Murmur After Acute Inferior Myocardial Infarction
Claude E. Forkner, Jr, MD;
James V. Talano, MD
Arch Intern Med. 1981;141(9):1219-1221.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A 44-year-old previously healthy woman was hospitalized after she had crushing substernal chest pains that radiated to the left arm and were associated with dyspnea. Physical findings were unremarkable. No murmurs were described. Evolutionary changes of an inferior lateral myocardial infarction were confirmed by an ECG and enzyme test results. Her hospital course was uneventful, until 12 days later, when she again complained of crushing substernal chest pains of three hours' duration. This was associated with development of pulmonary edema and hypotension. A new harsh, grade 2/6 apical holosystolic decrescendo murmur was heard at the cardiac apex. New ST-T wave abnormalities were noted on an ECG. She was transferred to Northwestern Memorial Hospital, Chicago, where, in addition to the previously mentioned findings, she was now noted to have a gallop rhythm and severely diminished peripheral pulses. Treatment was started for cardiogenic shock.
M-mode and two-dimensional sector scanning was performed at
. . . [Full Text PDF of this Article]
Author Affiliations
From the Northwestern University Medical School (Dr Forkner) and the Cardiac Graphics Department, Northwestern Memorial Hospital (Dr Talano), Chicago. Dr Forkner was a fellow in cardiology graphics at Northwestern University Medical School.
Footnotes
Accepted for publication June 12, 1980.
Reprint requests to Northwestern Memorial Hospital, Wesley Pavilion, Suite 585-B, 250 E Superior St, Chicago, IL 60611 (Dr Talano).
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