Abstract
An early diastolic murmur thought to indicate functional aortic regurgitation was heard in 7 of 74 consecutive patients with end-stage renal failure assessed for chronic intermittent haemodialysis and transplantation. In all 7 cases the murmur was transient and related to episodes of hypertension and fluid overload and disappeared on correction of these factors. In a further 2 patients aortic regurgitation resulted from a structural abnormality of the aortic valve. Thus, an early diastolic murmur is not uncommon in this situation and does not necessarily indicate organic aortic valve disease which might preclude selection for haemodialysis and transplantation.
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Selected References
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- BARLOW J., KINCAID-SMITH P. The ausculatory findings in hypertension. Br Heart J. 1960 Sep;22:505–514. doi: 10.1136/hrt.22.4.505. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Matalon R., Moussalli A. R., Nidus B. D., Katz L. A., Eisinger R. P. Functional aortic insufficiency. A feature of renal failure. N Engl J Med. 1971 Dec 30;285(27):1522–1523. doi: 10.1056/NEJM197112302852708. [DOI] [PubMed] [Google Scholar]
- PUCHNER T. C., HUSTON J. H., HELLMUTH G. A. Aortic valve insufficiency in arterial hypertension. Am J Cardiol. 1960 Jun;5:758–760. doi: 10.1016/0002-9149(60)90051-5. [DOI] [PubMed] [Google Scholar]
- RUNCO V., BOOTH R. W. Basal diastolic murmurs. Am Heart J. 1963 May;65:697–708. doi: 10.1016/0002-8703(63)90134-0. [DOI] [PubMed] [Google Scholar]