Graham Steell murmur

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A Graham Steell 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 with the patient in full inspiration.

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

It is named after Graham Steell.^[1]^[2]

References

↑ McArthur JD, Sukumar IP, Munsi SC, Krishnaswami S, Cherian G (October 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.
↑ Fraser AG, Weston CF (January 1991). "The Graham Steell murmur: eponymous serendipity?". J R Coll Physicians Lond 25 (1): 66–70. PMID 2023159.

Eponymous medical signs for circulatory system

Heart disease

Heart murmur	Systolic heart murmur: benign paediatric heart murmur (Still's murmur) Diastolic heart murmur: pulmonic regurgitation (Graham Steell murmur) aortic insufficiency (Austin Flint murmur) carey coombs murmur mitral regurgitation (Presystolic murmur)

Aortic insufficiency	Watson's water hammer pulse/Corrigan pulse De Musset's sign Duroziez's sign Müller's sign Quincke's sign Austin Flint murmur Mayne's sign

Other endocardium	endocarditis: Roth's spot Janeway lesion/Osler's node Bracht-Wachter bodies

Pericardium	cardiac tamponade/pericardial effusion: Beck's triad Ewart's sign

Other	rheumatic fever: Anitschkow cell Aschoff body EKG (Osborn wave) angina pectoris (Levine's sign) Gallavardin phenomenon

Vascular disease

Arterial	aortic aneurysm (Cardarelli's sign, Oliver's sign) pulmonary embolism (McConnell's sign) radial artery sufficiency (Allen's test) pseudohypertension (Osler's sign) thrombus (Lines of Zahn) Adson's sign arteriovenous fistula (Nicoladoni sign)

Venous	Friedreich's sign Caput medusae Kussmaul's sign DVT Bancroft's sign Homans sign Lisker's sign Louvel's sign Lowenberg's sign Peabody's sign Pratt's sign Rose's sign Trendelenburg test superior vena cava syndrome (Pemberton's sign)

M: HRT

anat/phys/devp

noco/cong/tumr, sysi/epon, injr

proc, drug (C1A/1B/1C/1D), blte

M: VAS

anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot

noco/syva/cong/lyvd/tumr, sysi/epon, injr

proc, drug (C2s+n/3/4/5/7/8/9)

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