Graham Steel Murmur

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

A Graham Steel murmur is a heart murmur typically associated with pulmonary regurgitation. It is a high pitched early diastolic murmur heard best at the left sternal edge in the second intercostal space during inspiration.

Historical Perspective

It is named for Graham Steell.[1][2]

Pathophysiology

The murmur is heard due to a high velocity regurgitant flow across the pulmonary valve.

Differential Diagnosis of Underlying Causes

The Graham Steel murmur is most often a consequence of pulmonary hypertension. The Graham Steell murmur is often heard in patients with chronic cor pulmonale (pulmonary heart disease) as a result of chronic obstructive pulmonary disease.

Historical Perspective

It is named for Graham Steell.[1][2]

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  1. 1.0 1.1 McArthur JD, Sukumar IP, Munsi SC, Krishnaswami S, Cherian G (1974). "Reassessment of Graham Steell murmur using platinum electrode technique". Br Heart J. 36 (10): 1023–7. doi:10.1136/hrt.36.10.1023. PMC 1020054. PMID 4433433. Unknown parameter |month= ignored (help)
  2. 2.0 2.1 Fraser AG, Weston CF (1991). "The Graham Steell murmur: eponymous serendipity?". J R Coll Physicians Lond. 25 (1): 66–70. PMID 2023159. Unknown parameter |month= ignored (help)