(1) The sounds were loudest along the left sternal border, exhibited an increase in intensity during inspiration and were associated with right atrial gallop sounds and with murmurs of tricuspid regurgitation.
(2) Based on initial auscultatory findings, patients were divided into: (1) single or multiple apical systolic clicks with no murmur (n = 99); (2) single or multiple apical systolic clicks and a late systolic murmur (n = 129); and (3) single or multiple apical clicks and an apical pansystolic murmur or murmur beginning in the first half of systole (n = 63).
(3) In the reported case the murmur grew in the beginning and then disappeared spontaneously.
(4) The following factors of these patients were analyzed: age, sex, civil status, socio-economic level, occupation, family antecedents, personal antecedents, smoking, alcoholism, presence of cardiac murmurs, arrhythmias, and electrocardiogram.
(5) The clinical history of recurrent bronchitis and dyspnoea during exercise, the presence of right parasternal murmur with normal heart size and normal blood gases justified the execution of an arteriovenous thoracic angiography which revealed the presence of a cirsoid aneurysm supplied by the internal and external mammary arteries.
(6) We report a case of a 17 year old boy who was referred for evaluation of a large anterior mediastinal mass, causing dyspnea and cough and resulting in a harsh systolic murmur.
(7) Although the continuous murmur is an unusual sign in patients with pulmonary embolism, its auscultation is often quite distinctive, and its appearance may lead to more definitive diagnostic studies when the presentation or associated clinical findings are nonspecific.
(8) The patient was asymptomatic and a heart murmur and abnormal electrocardiogram were discovered incidentally.
(9) Thus, the murmur of MR derives its prognostic significance from integration of multiple clinical, radiographic and electrocardiographic characteristics.
(10) Patent ductus arteriosus murmurs developed in shielded patients at a later date, they required less vigorous treatment (ie, indomethacin), and they had shorter hospitalizations (74 v 85 days; P less than .05).
(11) Healthy women students who asked for oral contraceptives were carefully examined to ascertain whether they had a cardiac murmur.
(12) The clinical picture was relatively nonspecific, and 32% of the patients had no heart murmurs initially.
(13) Of the total 47 episodes, carditis was manifested by a significant murmur without previous RF or any known rheumatic heart disease in 40%; change in the character of a murmur under observation or the appearance of a new murmur in 15%; and acute pericarditis in 19%.
(14) Acoustic information about the place of articulation of a prevocalic nasal consonant is distributed over two distinct signal portions, the nasal murmur and the onset of the following vowel.
(15) A 59-year-old woman hospitalised because of dyspnea and a heart murmur in a context of pyrexia was found to have evidence of obstruction of the pulmonary arterial system, clearly defined by ultrasonography, catheterisation and angiography and Imatron scan.
(16) All murmurs contained dominant frequencies that varied with time.
(17) Immediately after the implantation of a temporary transvenous right ventricular pacemaker, a high-pitched systolic musical murmur was heard at the lower left sternal border.
(18) Six patients had no audible murmur; four had grade 1 to 2 innocent murmurs.
(19) We correlated the intensity and timing of murmur with maximal flow velocity, acceleration time and other parameters.
(20) The patient presented with severe angina pectoris and the main physical findings were absence of the closing click of the prosthetic valve and the presence of systolic and diastolic aortic murmurs.
Starling
Definition:
(n.) Any passerine bird belonging to Sturnus and allied genera. The European starling (Sturnus vulgaris) is dark brown or greenish black, with a metallic gloss, and spotted with yellowish white. It is a sociable bird, and builds about houses, old towers, etc. Called also stare, and starred. The pied starling of India is Sternopastor contra.
(n.) A California fish; the rock trout.
(n.) A structure of piles driven round the piers of a bridge for protection and support; -- called also sterling.
Example Sentences:
(1) This force will be numerically similar to the net driving Starling force in small pores, but distinctly different in large pores.
(2) For the purpose of an experimental study in which the three different types of pressure catheters most commonly used in anorectal manometry were compared, a Starling-resistance could be established.
(3) Properly timed atrial systole may alter systolic performance by the mechanism of Starling's law of the heart, which states that the extent of systolic myocardial fiber shortening is dependent on the degree of diastolic fiber stretch, or preload.
(4) Corticotropin-releasing factor (CRF) was localized in the brains of two passerine species, the European starling (Sturnus vulgaris) and the song sparrow (Melospiza melodia), by means of immunohistochemistry.
(5) Even within the ACE inhibitor group their effects vary--improving, impairing, or not changing the Frank-Starling relationships following reduction in left ventricular mass.
(6) Though the starlings looked like a dark swarm of bees, they had two inky blobs in their midst, for they had acquired a pair of crow interlopers.
(7) We used single-unit vagal recordings to study the average discharge pattern during a respiratory cycle from 57 intrapulmonary CO2 receptors in 6 ducks artificially ventilated with a Starling pump.
(8) Thus the Frank-Starling mechanism has a very significant role in an intact organism with normal hemodynamics.
(9) Possible mechanisms causing the observed biphasic lymph flow response to capillary pressure elevation are: 1) changes in Starling forces oppose an increase in capillary pressure; 2) the rate of change in tissue fluid pressure affects lymph flow to a greater extent than does the absolute change in tissue fluid pressure; or, 3) the lymphatics empty upon elevation and refill as the capillaries filter.
(10) Pre- and postoperative hemodynamic workup with construction of Starling curves were used to answer this question.
(11) Words included in this title include mistletoe, gerbil, acorn, goldfish, guinea pig, dandelion, starling, fern, willow, conifer, heather, buttercup, sycamore, holly, ivy, and conker.
(12) This study is the first to demonstrate that an intestinal helminth previously reported to be of little or no histopathological consequence, Plagiorhynchus cylindraceus, has a significant detrimental impact upon the flow of food energy through a definitive host, the European starling, Sturnus vulgaris.
(13) An addition to Starling's hypothesis is therefore suggested to adapt it to dependent tissues.
(14) These temperatures are 2-4 degrees C higher than the resting temperature in starlings, and are among the highest steady-state temperatures observed in any animal.
(15) These three parameters can be related to the ventricular filling time, supporting the opinion that the fetal heart follows the rules of the Frank Starling relationship.
(17) This altered cardiac response to venous filling, also observed in patients with essential hypertension, is suggested to be caused by an altered Frank-Starling relationship of the hypertrophied heart in hypertensive individuals.
(18) Endurance athletes have greater ventricular diastolic chamber compliance and distensibility than nonathletes and thus operate on the steep portion of their Starling curve.
(19) Within the heart the Frank-Starling mechanism, adrenergic stimulation causing increase of heart rate and contractility, and during the chronic course also myocardial hypertrophy are operating.
(20) Metabolic imbalance (hypoxia) can be linked with diabetic macular edema through hemodynamic principles according to Starlings law.