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March 22, 1884

Diagnosisof " Functional Murmurs. "

Author Affiliations

64 State St., Chicago.

JAMA. 1884;II(12):331. doi:10.1001/jama.1884.04360010023008

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We have received the interesting paper of Dr. F. C. Shattuck on the above subject, and as a whole can commend it for the care which has been exercised in collecting facts, and for the clear statement of the differential features between organic murmurs and those of inorganic origin; but we cannot coincide with him in the following statement, which we fear may mislead some who are not thoroughly familiar with the various cardiac murmurs.

He states: " As regards prognosis and treatment, a murmur, even if persistent, is of no importance to the patient, unless it either is, or after a reasonable time, say six months if you choose, becomes associated with other well-marked evidences of a distrubance of the balance of the circulation, above all, enlargement of the heart in some or all of its divisions."

In this the author has overlooked those numerous cases in which, for years,

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