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Continuous Murmur Caused by a Ventricular Septal Defect Post-Myocardial Infarction*: Visual Display With a Handheld Computer

Jeff Olson, DO; Morton Tavel, MD
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*From the Department of Cardiology (Dr. Olson), St Vincent’s Hospital, Indianapolis, IN; and the Cardiology Department (Dr. Tavel), The Care Group, Indianapolis, IN.

Correspondence to: Jeff Olson, St Vincent’s Hospital, Cardiology, 8333 Naab Rd, Indianapolis, IN 46260; e-mail: jakjiolson@sbcglobal.net



Chest. 2005;128(2):1058-1060. doi:10.1378/chest.128.2.1058
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Ventricular septal defects do not typically result in a continuous murmur. The only previously reported case involved a congenital ventricular septal defect. We report a case of an acquired ventricular septal defect following a large anterior myocardial infarction resulting in a continuous murmur. The continous nature was confirmed both with 2D echocardiography and a specially equipped stethoscope in conjuntion with a handheld computer to provide a visual display of the murmur. A proposed mechanism for the continuous murmur was discussed.

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