Tele-, Proto-, or Holosystolic Mitral Regurgitation . . . Time to Learn From Physical Examination and Go Beyond PISA

Traditionally, the first step in evaluating any valvular heart disease is always the history and physical examination, heavily relying on the characteristics of the associated murmur. The classic example is mitral valve prolapse (MVP); diagnostic bedside findings and implications of late systolic murmurs are immortalized in Dr. Barlow ’s seminal papers.1 However, the presence of nonholosystolic murmurs is not exclusive to MVP. This can occur, for example, in acute mitral regurgitation (MR) due to a ruptured papillary muscle2 or due to paroxysms of wide-open functional MR.
Source: Journal of the American Society of Echocardiography - Category: Cardiology Authors: Tags: Editorial Source Type: research