• Forty patients undergoing hemodialysis were examined for bruits transmitted from the vascular access arm. In patients with forearm access, the bruits were localized to the clavicular and cervical regions on the same side. However, transmission to the sternal edge was noted in 8 of 10 patients with upper arm access. Compression of the fistula is a useful maneuver that allows the clinician to distinguish transmitted murmurs from those arising in cardiac valves.
(Arch Intern Med. 1989;149:1392-1393)
Rault R. Transmitted Murmurs in Patients Undergoing Hemodialysis. Arch Intern Med. 1989;149(6):1392–1393. doi:10.1001/archinte.1989.00390060112024
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: