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Pre-systolic Murmur, Possibly Not Due to Mitral Stenosis 

Pre-systolic Murmur, Possibly Not Due to Mitral Stenosis
Chapter:
Pre-systolic Murmur, Possibly Not Due to Mitral Stenosis
Author(s):

Donald W. Winnicott

DOI:
10.1093/med:psych/9780190271336.003.0037
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date: 23 September 2018

In this case, Winnicott describes the case of a patient whose heart is quite normal except that on auscultation a pre-systolic murmur can be heard whose quality is typical of the murmur due to rather advanced stenosis. The point for Winnicott is the absence of any evidence of mitral regurgitation. Winnicott recounts how he has lately come across a few cases of stenosis in definitely rheumatic or choreic children, with no systolic apical murmur and without detectable carditis during the acute illness.

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