[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 50.16.107.222. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 1988

Still's Murmur

Author Affiliations

Department of Medicine The George Washington University Washington, DC 20037

Am J Dis Child. 1988;142(4):416. doi:10.1001/archpedi.1988.02150040066015
Abstract

Sir.—I enjoyed reading Dr McNamara's scholarly editorial "The Pediatrician and the Innocent Heart Murmur."1 As usual, Dr McNamara made a lucid presentation of a rather complex subject.

Among his descriptions of the four common functional heart murmurs, that of the Still's murmur deserves additional comment. Dr McNamara correctly characterized Still's murmur as an aortic vibratory murmur. Although Still's murmur was originally thought to be due to trigonoidation of the pulmonic valve cusps in systole,2 more recent work has shown that it originates from the aortic or subaortic region.3 Although Dr McNamara appropriately called Still's murmur an aortic murmur—a concept not too familiar to adult cardiologists—he forgot to point out that it is usually heard along the left sternal border instead of the so-called aortic area in the right second intercostal space.4

First Page Preview View Large
First page PDF preview
First page PDF preview
×