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.
Famous quotes containing the words graham and/or murmur:
“You had disadvantages. You’re insane.”
—Michael Mann, U.S. screenwriter. Will Graham (William Petersen)
“I believe a man is born first unto himself—for the happy developing of himself, while the world is a nursery, and the pretty things are to be snatched for, and pleasant things tasted; some people seem to exist thus right to the end. But most are born again on entering manhood; then they are born to humanity, to a consciousness of all the laughing, and the never-ceasing murmur of pain and sorrow that comes from the terrible multitudes of brothers.”
—D.H. (David Herbert)