title: Appreciation of precordial cardiac murmur on examination relative to knowledge of valvular heart disease.
abstract: Skills associated with physical examination have continued to decline as practitioners have become increasingly reliant on advanced imaging modalities. Our study sought to determine if documentation of valvular heart disease on echocardiography resulted in an increased appreciation and documentation of precordial murmur.
authors.affiliation: Department of Medicine, Cardiology Division, Brooke Army Medical Center, San Antonio, Texas 78234, USA.
authors.forename: Cindy A
authors.initials: CA
authors.lastname: Codispoti
authors.forename: Robert E
authors.initials: RE
authors.lastname: Eckart
authors.forename: Samara A
authors.initials: SA
authors.lastname: Rutberg
authors.forename: Eric A
authors.initials: EA
authors.lastname: Shry
authors.forename: Sheri Y N
authors.initials: SY
authors.lastname: Boyd
mesh_terms: D017677:Age Distribution; D000368:Aged; D002983:Clinical Competence; D015331:Cohort Studies; D004282:Documentation; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006326:Heart Auscultation / Q000379:methods*; D006337:Heart Murmurs / Q000175:diagnosis* / Q000453:epidemiology; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000453:epidemiology; D015588:Observer Variation; D010818:Practice Patterns, Physicians'; D011336:Probability; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D017678:Sex Distribution