{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:40:02Z","timestamp":1756323602827,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,23]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>In 1961, K Merendino \u2018in pure curiosity\u2019, while tracking the murmur of mitral regurgitation, placed his stethoscope \u2018on the vertex of the head\u2019, and ultimately led to a medical curiosity and exam finding that not only bears his name, but awes medical learners at all stages of their careers. Merendino and colleagues collected seven such cases of the \u2018Murmur on Top of the Head\u2019 building on the work of others who provided a detailed description of mitral regurgitation and noted murmur radiation to the neck and cervical\/lumbosacral spine. The majority of patients suffered from rheumatic heart disease or subacute bacterial endocarditis in native heart valves. Here, we report on a case of the \u2018Murmur on Top of the Head\u2019 and provide the reader\/listener with a direct recording of the \u2018Merendino murmur\u2019 (as well as its spinal correlate) in an elderly woman with a bioprosthetic mitral valve.<\/jats:p>","DOI":"10.1136\/bcr-2021-245117","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T13:51:05Z","timestamp":1634133065000},"page":"e245117","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Murmur on top of the head: bioprosthetic mitral valve insufficiency"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8940-3548","authenticated-orcid":false,"given":"Albahi","family":"Malik","sequence":"first","affiliation":[{"name":"Department of Medicine, MedStar Health, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneeqa","family":"Saif","sequence":"additional","affiliation":[{"name":"Department of Medicine, MedStar Health, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Awsse","family":"Al-Ani","sequence":"additional","affiliation":[{"name":"Department of Medicine, MedStar Health, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Haas","sequence":"additional","affiliation":[{"name":"Department of Medicine, MedStar Health, Baltimore, Maryland, USA"},{"name":"Department of Internal Medicine, MedStar Harbor Hospital, Baltimore, Maryland, USA"},{"name":"Department of Medicine, MedStar Franklin Square Medical Center, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,10,13]]},"reference":[{"key":"2025082712172998000_14.10.e245117.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1967.03120120080012"},{"key":"2025082712172998000_14.10.e245117.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(60)90064-3"},{"key":"2025082712172998000_14.10.e245117.3","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/S0033-0620(62)80028-0","article-title":"Auscultatory and phonocardiographic manifestations of pure mitral regurgitation","volume":"5","author":"Perloff","year":"1962","journal-title":"Prog Cardiovasc Dis"},{"key":"2025082712172998000_14.10.e245117.4","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1161\/01.CIR.26.3.428","article-title":"Mitral insufficiency simulation aortic stenosis","volume":"26","author":"Sleeper","year":"1962","journal-title":"Circulation"},{"key":"2025082712172998000_14.10.e245117.5","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.23.1.42"},{"key":"2025082712172998000_14.10.e245117.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(50)90204-X"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:17:39Z","timestamp":1756322259000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":6,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,13]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-245117"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245117","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}