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 as a result of chronic obstructive pulmonary disease.

It is named for Graham Steell.cite journal |author=McArthur JD, Sukumar IP, Munsi SC, Krishnaswami S, Cherian G |title=Reassessment of Graham Steell murmur using platinum electrode technique |journal=Br Heart J |volume=36 |issue=10 |pages=1023–7 |year=1974 |month=October |pmid=4433433 |pmc=1020054 |doi= |url=] cite journal |author=Fraser AG, Weston CF |title=The Graham Steell murmur: eponymous serendipity? |journal=J R Coll Physicians Lond |volume=25 |issue=1 |pages=66–70 |year=1991 |month=January |pmid=2023159 |doi= |url=]


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