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• W1483622010 abstract "A revision is suggested in nomenclature of the various areas of auscultation based on knowledge supplied by intracardiac phonocardiography and on physiologic principles. The following auscultatory areas over the chest are suggested: 1.(1) Left Ventricular Area. The area centering on the apex beat, and extending to the fourth and fifth left interspaces 2 cm. medial to the apex and laterally to the anterior axillary line. In isolated left ventricular enlargement this area would extend medially whilst in right ventricular enlargement it would extend laterally. 2.(2) Right Ventricular Area. The area formed by the lower half of the sternum and the fourth and fifth left and right interspaces extending to about 2 cm. from the sternal edge. In conditions with right ventricular enlargement this area may extend laterally, reaching the point of maximal impulse (clinical apex beat). 3.(3) Left Atrial Area. The area located at the level of the angle of the scapula to the left of the vertebral margin extending to the posterior axillary line. 4.(4) Right Atrial Area. The area located at the fourth and fifth right interspaces at the right of the sternum extending for a varying distance, at times to the right mid-clavicular line. In patients with extreme enlargement it may extend further to the right. 5.(5) Aortic Area. The area formed by the third left interspace near the sternal edge, and extending across the manubrium to the first, second and third right interspaces near the sternal margin; it may include the right sternoclavicular joint and often the suprasternal notch. 6.(6) Pulmonary Area. The area formed by the second left interspace near the sternal edge, extending upwards to the first left interspace below the clavicle and to the left sternoclavicular joint, and downwards to the third left interspace near the sternal margin. This area may also extend posteriorly at the level of the fourth and fifth dorsal vertebrae about 2 to 3 cm. on either side. 7.(7) Area for Descending Thoracic Aorta. The area located over the dorsal spine (from the second to the tenth dorsal vertebrae) extending 2 to 3 cm. to the left of the spine. A dynamic interpretation of the murmurs, based on the principal location and preferential “transmission,” is advocated. Conceptually, the murmurs are classified as (1) “inflow tract” murmurs of the left side of the heart; (2) “outflow tract” murmurs of the left side of the heart; (3) “inflow tract” murmurs of the right side of the heart; (4) “outflow tract” murmurs of the right side of the heart; and (5) murmurs produced at the site of any left-to-right shunt." @default.
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• W1483622010 date "1964-02-01" @default.
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• W1483622010 title "A revision of the “classic” areas of auscultation of the heart" @default.
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• W1483622010 doi "https://doi.org/10.1016/0002-9343(64)90092-0" @default.
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