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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Murmur, Diastolic
Evidence Summary and Review 1


Topics Discussed: aortic valve insufficiency, criterion standard comparisons (diagnostic tests), diastolic murmur, likelihood ratio, measures of outcome

Excerpt: "Echocardiography in Evaluating Systolic Murmurs of Unknown Cause.Twenty-eight of the patients referred for systolic murmurs had aortic regurgitation (AR). The degree of regurgitation was mild in 22 cases (79%) and associated with another echocardiographic lesion in 15 (54%) cases. The examiners made a clinical diagnosis of aortic insufficiency in 9 patients (Table 32-6).Level 3...."
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