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(Chest. 1970;57:176-179.)
© 1970 American College of Chest Physicians

Murmur Alternans in Aortic Stenosis

Morton E. Tavel M.D., F.C.C.P.1 and William K. Nasser M.D.1

1 Assistant Professor of Medicine, Indiana University Medical Center

We have presented a case of severe aortic stenosis with pulsus alternans manifesting alternation of the auscultatory findings, namely, the systolic ejection murmur, diastolic gallop sound, first and second heart sounds and ejection click. Physiologic considerations are discussed. In the presence of a regular heart rate, alternating auscultatory findings have the same clinical significance as the finding of pulsus alternans.






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Copyright © 1970 by the American College of Chest Physicians.