2021
DOI: 10.1016/j.ajem.2021.05.041
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Murmurs other than the early diastolic murmur in aortic dissection

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“…The proposed mechanism is that a type A dissection flap distorts leaflet alignment, leading to valvular pathology Although a new systolic murmur was detected by the emergency department and internal medicine teams, the CCU team documented a diastolic murmur. It is possible that the murmur evolved over time; literature review demonstrates that systolic murmurs are also found in early aortic dissection, believed to be secondary to aortic deformity in the beginning phase of dissection and intimal tearing [5]. As such, new murmurs of any kind, not just diastolic murmurs, may be found in acute aortic dissection.…”
Section: Discussionmentioning
confidence: 99%
“…The proposed mechanism is that a type A dissection flap distorts leaflet alignment, leading to valvular pathology Although a new systolic murmur was detected by the emergency department and internal medicine teams, the CCU team documented a diastolic murmur. It is possible that the murmur evolved over time; literature review demonstrates that systolic murmurs are also found in early aortic dissection, believed to be secondary to aortic deformity in the beginning phase of dissection and intimal tearing [5]. As such, new murmurs of any kind, not just diastolic murmurs, may be found in acute aortic dissection.…”
Section: Discussionmentioning
confidence: 99%