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Austin Flint murmur
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==Mechanism== [[Echocardiography]], conventional and colour flow [[Doppler ultrasound]], and cine [[nuclear magnetic resonance]] (cine NMR) imaging suggest the murmur is the result of (aortic regurgitant) flow impingement on the inner surface of the heart, i.e. the [[endocardium]].<ref> {{cite journal |vauthors=Landzberg JS, Pflugfelder PW, Cassidy MM, Schiller NB, Higgins CB, Cheitlin MD |year=1992 |title=Etiology of the Austin Flint murmur |journal=[[Journal of the American College of Cardiology]] |volume=20 |issue=2 |pages=408β413 |pmid=1634679 |doi=10.1016/0735-1097(92)90110-9 |doi-access= }}</ref><ref name="pmid18768939"> {{cite journal |vauthors=Weir RA, Dargie HJ |year=2008 |title=Austin Flint Murmur |journal=[[New England Journal of Medicine]] |volume=359 |issue=10 |pages=e11 |pmid=18768939 |doi= 10.1056/NEJMicm072437 }}</ref> ===Classical description=== Classically, it is described as being the result of [[mitral valve]] leaflet displacement ''and'' turbulent mixing of anterograde [[mitral valve|mitral]] flow and retrograde [[aortic valve|aortic]] flow:<ref>{{Cite GPnotebook|-167378943|Austin Flint murmur|accessdate=June 4, 2007}}</ref> '''Displacement:''' The [[blood]] jets from the aortic regurgitation strike the anterior leaflet of the [[mitral valve]], which often results in premature closure of the mitral leaflets. This can be mistaken for mitral stenosis. '''Turbulence of the two columns of blood:''' Blood from [[left atrium]] to left ventricle and blood from aorta to [[left ventricle]].
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