Institutional Subscriptions   Individual Subscriptions 
Editors/Authors   Librarians   Newsletter   Site Tour   A-Z Index   About   Contact Us   Help 
Log In | Log In via Athens
Disable Autosuggest
The Rational Clinical Examination
David L. Simel, Drummond Rennie
Murmur, Diastolic
Niteesh K. Choudhry, Edward E. Etchells
Accuracy of the Examination for Aortic Regurgitation

Topics Discussed: aortic valve insufficiency, diagnostic process, diastolic murmur, doppler echocardiography, finding the evidence, interobserver agreement

Excerpt: "To identify articles pertaining to the precision and accuracy of the physical examination for AR, we used standard methods for conducting research overviews.24 Our data collection strategy involved 3 steps and was deliberately broad to reduce the possibility of overlooking important articles. First, we searched MEDLINE for English-language articles published from 1966 through July 1997, using a structured search strategy (available on request from the authors). Second, we manually reviewed potentially relevant articles and their reference lists. Third, we contacted the authors of relevant studies for additional information. Studies were excluded if they were review articles, involved patients younger than 18 years, were small (ie, <20 participants), involved prosthetic heart valves, had no clinical examination performed or reported, or had no acceptable reference standard (Doppler echocardiography or cardiac catheterization).Precision refers to agreement regarding a particular clinical finding between different physicians (interobserver) or between multiple assessments by the same physician (intraobserver). The precision of the clinical examination for diastolic murmurs has been evaluated in usual clinical situations by auscultating patients28,29 or in controlled nonclinical circumstances by listening to recorded audiotapes (Table 32-2).30..."
Log in to read the full chapter:
Subscriber Log In
Forgot your username/password?
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $34.95
48 hours for $54.95
Copyright © American Medical Association. All rights reserved.  |  JAMA  |  McGraw-Hill Global Education Holdings, LLC.
Privacy Notice. Any use is subject to the Terms of Use and Notice. Additional Credits and Copyright Information.
Your IP address is