Other aspects of Heyde's syndrome

The patient in the vignette [1] was at a diagnostic advantage because she had the “classic murmur of aortic stenosis”, namely, grade 4/6 intensity, maximal at the second right intercostal space, and radiating to the neck [2]. Atypically, however, the murmur may, in some cases “be most easily audible in the mitral area” [2], thereby simulating the systolic murmur which is sometimes attributable solely to anemia [3], the so-called “hemic” murmur [4]. Conversely, in a few patients with hemic murmurs the murmur may be audible in the aortic area [4], thereby simulating the murmur of aortic stenosis.

Source: The American Journal of Emergency Medicine - August 14, 2020 Category: Emergency Medicine Authors: Oscar M.P. Jolobe Source Type: research