RT Journal
A1 Rault R
T1 TRansmitted murmurs in patients undergoing hemodialysis
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1989
FD June 1
VO 149
IS 6
SP 1392
OP 1393
DO 10.1001/archinte.1989.00390060112024
UL http://dx.doi.org/10.1001/archinte.1989.00390060112024
AB • Forty patients undergoing hemodialysis were examined for bruits transmitted from the vascular access arm. In patients with forearm access, the bruits were localized to the clavicular and cervical regions on the same side. However, transmission to the sternal edge was noted in 8 of 10 patients with upper arm access. Compression of the fistula is a useful maneuver that allows the clinician to distinguish transmitted murmurs from those arising in cardiac valves.(Arch Intern Med. 1989;149:1392-1393)