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(Chest. 1966;49:362-369.)
© 1966 American College of Chest Physicians

Silent Rheumatic Valvular Heart Disease

William Likoff M.D., F.C.C.P.1; Bernard L. Segal M.D., F.C.C.P.2; Albert J. Kaspar M.D.3; Hratch Kasparian M.D.3; and Paul Novack M.D.4

1 Head, Section of Cardiology, Professor of Medicine, Hahnemann Medical College and Hospital
2 Assistant Head of Cardiology, Associate Professor of Medicine, Hahnemann Medical College and Hospital
3 Associate in Medicine, Hahnemann Medical College and Hospital
4 Head, Catheterization Unit, Section of Cardiology, Associate Professor of Medicine, Hahnemann Medical College and Hospital

The terms silent and murmurless are applied to hemodynamically significant rheumatic valve disease which is not accompanied by audible and graphically recordable abnormal heart sounds and murmurs. Lesions cannot be classified as silent or murmurless unless the examination has been performed by competent observers with meticulous attention to auscultatory techniques.

In most instances the presence of silent and murmurless valve disease is suggested by clinical manifestations which can be identified at the bedside or through ordinary methods of examination. Once suspected the diagnosis can be confirmed by definite and more sophisticated methods of investigation.






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Copyright © 1966 by the American College of Chest Physicians.