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June 1989

Transmitted Murmurs in Patients Undergoing Hemodialysis

Author Affiliations

From the Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh (Pa).

Arch Intern Med. 1989;149(6):1392-1393. doi:10.1001/archinte.1989.00390060112024

• 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)

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