Diseases of the heart and arterial system : designed to be a practical presentation of the subject for the use of students and practitioners of medicine . AORTIC REGURGITATION .,:, only in the fourth left interspace, close to the breastbone. It: isgenerally most distinct in the erecl position or when the heartsaction is excited. Neverthe-less I have certainly observedcases in which the murmur be-came more distinct and easilyrecognised when the patientwas recumbent. This murmuris transmitted downward to-wards the ensiform appendix,and in some instances alsotowards the left, even as faras the ap
Diseases of the heart and arterial system : designed to be a practical presentation of the subject for the use of students and practitioners of medicine . AORTIC REGURGITATION .,:, only in the fourth left interspace, close to the breastbone. It: isgenerally most distinct in the erecl position or when the heartsaction is excited. Neverthe-less I have certainly observedcases in which the murmur be-came more distinct and easilyrecognised when the patientwas recumbent. This murmuris transmitted downward to-wards the ensiform appendix,and in some instances alsotowards the left, even as faras the apex. When audible,with more than usual inten-sity at the apex, the murmuris thought by some to indicateincompetence of the left pos-terior flap. As previously remarkedwith reference to the mitralregurgitant murmur, the intensity and the extent of conduction ofthis aortic diastolic murmur furnish no criterion of the gravity of. Fig. 58.—Spot of Maximum Intensity(small circle) and Area of Transmis-sion of Typical Aortic RegurgitantMurmur.
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