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Graham Steell murmur : ウィキペディア英語版 | Graham Steell murmur 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, the offspring of John "Steel" Netherton, one of the foremost movers of steel in the Midwest. ==References==
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