{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:13:56Z","timestamp":1760645636392},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"616","license":[{"start":{"date-parts":[[1977,2,1]],"date-time":"1977-02-01T00:00:00Z","timestamp":223603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1977,2,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Systolic murmurs present in 129 geriatric patients followed to post-mortem were assessed as mitral or aortic in origin by simple clinical assessment alone. Post-mortem examination contradicted clinical findings in only 2% of cases. Mitral valve pathology, mostly post-inflammatory scarring or mucoid degeneration, was present in 50% of the cases with murmurs. There was a significant correlation between the presence of murmurs, particularly mitral murmurs, and congestive cardiac failure, and there was also a significant correlation with age. A tendency for aortic systolic murmurs to be associated with a higher mean systolic blood pressure was not significant and there was no significant association between systolic murmurs and ischaemic heart disease.<\/jats:p>","DOI":"10.1136\/pgmj.53.616.66","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T20:39:26Z","timestamp":1230583166000},"page":"66-68","source":"Crossref","is-referenced-by-count":4,"title":["Pathological validation of auscultation of the elderly heart"],"prefix":"10.1093","volume":"53","author":[{"given":"M J","family":"Denham","sequence":"first","affiliation":[{"name":"Northwick Park Hospital , Watford Road, Harrow, Middlesex"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Pomerance","sequence":"additional","affiliation":[{"name":"Northwick Park Hospital , Watford Road, Harrow, Middlesex"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H M","family":"Hodkinson","sequence":"additional","affiliation":[{"name":"Northwick Park Hospital , Watford Road, Harrow, Middlesex"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1977,2,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/0002-9149(63)90104-8","article-title":"Heart sounds in the aged","volume":"11","author":"BETHEL, C.S.; CROW, E.W.","year":"1963","unstructured":"BETHEL, C.S. & CROW, E.W. 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Gerontologia clinica, 12, 275.","journal-title":"Gerontologia clinica"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1136\/hrt.27.5.697","article-title":"Pathology of the heart with and without heart failure in the elderly","volume":"27","author":"POMERANCE, A.","year":"1965","unstructured":"POMERANCE, A. (1965) Pathology of the heart with and without heart failure in the elderly. British Heart Journal, 27, 697.","journal-title":"British Heart Journal"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1136\/hrt.30.5.687","article-title":"Cardiac pathology and systolic murmurs in the elderly","volume":"30","author":"POMERANCE, A.","year":"1968","unstructured":"POMERANCE, A. (1968) Cardiac pathology and systolic murmurs in the elderly. British Heart Journal, 30, 687.","journal-title":"British Heart Journal"},{"key":"ref_10","first-page":"897","article-title":"Symptomatic valvular myxomatous transformation","volume":"32","author":"READ, R.C.; THAL, A.P.; WENDT, V.E.","year":"1965","unstructured":"READ, R.C., THAL, A.P. & WENDT, V.E. (1965) Symptomatic valvular myxomatous transformation. Circulation, 32, 897.","journal-title":"Circulation"},{"key":"ref_11","first-page":"1003","article-title":"Frequenza e significato dei soffi valvolari nell'eti senile","volume":"16","author":"STIRPE, G.; SCOPPOLA, L.","year":"1968","unstructured":"STIRPE, G. & SCOPPOLA, L. (1968) Frequenza e significato dei soffi valvolari nell'eti senile. Giornale di gerontologia, 16, 1003.","journal-title":"Giornale di gerontologia"},{"key":"ref_12","article-title":"Diseases of the Heart and Circulationn. Eyre and Spottiswoode","author":"WOOD, P.","year":"1968","unstructured":"WOOD, P. (1968) Diseases of the Heart and Circulation, 3rd Edn. 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