WordNet

speak softly or indistinctly; "She murmured softly to the baby in her arms"
make complaining remarks or noises under ones breath; "she grumbles when she feels overworked" (同)mutter, grumble, croak, gnarl
making a low continuous indistinct sound; "like murmuring waves"; "susurrant voices" (同)susurrant, whispering

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(流れる水・そよぐ葉などの)『ざわるき』,かすかな音;(人の声の)『ささやき』,ぼそぼそいう声《+『of』+『名』》 / 不平の声,ぶつぶつ言うこと / 〈川・風・木の葉などが〉『ざわめく』 / 〈人が〉『ささやく』,つぶやく / 《まれ》(…について)ぶつぶつ不平を言う《+『at』(『against, about』)+『名』》 / …‘を'『ささやく』,ぼそぼそと言う,小声で言う

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/12/19 19:04:16」(JST)

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1. 心雑音の聴診 auscultation of cardiac murmurs
2. 心雑音および心音の鑑別診断における生理学的および薬理学的手法 physiologic and pharmacologic maneuvers in the differential diagnosis of heart murmurs and sounds
3. 僧帽弁狭窄症の病態生理、臨床的特徴、および評価 pathophysiology clinical features and evaluation of mitral stenosis
4. 幼児および小児における孤立性心室中隔欠損の病態生理および臨床的特徴 pathophysiology and clinical features of isolated ventricular septal defects in infants and children
5. アルコール性心筋症 alcoholic cardiomyopathy

English Journal

Vertebral osteomyelitis associated with Granulicatella adiacens.

Fukuda R1, Oki M, Ueda A, Yanagi H, Komatsu M, Itoh M, Oka A, Nishina M, Ozawa H, Takagi A.Author information 1Department of General Internal Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan. f.ryuki@is.icc.u-tokai.ac.jpAbstractGranulicatella adiacens is a nutritionally variant streptococci. Only 3 cases of vertebral osteomyelitis due to these microorganisms have been reported. We experienced a 73-year-old male who consulted us due to fever and back pain of about 1-month duration. On examination, a presystolic murmur was heard in the apical region. Echocardiography showed prolapse of the mitral valve, but no vegetation was observed. MRI revealed osteomyelitis of lumbar vertebrae. As G. adiacens was detected in blood culture, it was determined as the cause of vertebral osteomyelitis, and combination antibiotics therapy was started. The condition improved, the patient underwent valvoplasty, and no trace of infective endocarditis was noted in the resected valve. All the previous cases had infection caused by G. adiacens and complicated with infective endocarditis. This is the first case without infective endocarditis. Vertebral osteomyelitis due to NVS is very rare. Since nutritionally variant streptococci do not grow in common culture media, and since the sensitivity of isolation by standard conventional biochemical methods is low, the condition may be misdiagnosed as blood-culture-negative vertebral osteomyelitis. Therefore, the possibility of nutritionally variant streptococci infection should be considered if a patient with vertebral osteomyelitis shows a positive Gram stain but negative blood cultures.
The Tokai journal of experimental and clinical medicine.Tokai J Exp Clin Med.2010 Dec 20;35(4):126-9.
Granulicatella adiacens is a nutritionally variant streptococci. Only 3 cases of vertebral osteomyelitis due to these microorganisms have been reported. We experienced a 73-year-old male who consulted us due to fever and back pain of about 1-month duration. On examination, a presystolic murmur was h
PMID 21319041

[Long-surviving patient with isolated absent pulmonary valve syndrome: a case report].

Okajima K1, Kawase Y, Hasegawa T, Hato K, Nishimoto M, Yoshikawa J.Author information 1Department of Internal Medicine, Izumi City Hospital, Fuchu-cho 4-10-10, Izumi, Osaka 594-0071. okajimakazue@aol.comAbstractA 79-year-old woman was admitted for exertional dyspnea in September 2001. She had begun to experience unusual fatigue from the age of 40 years. Cardiac examination revealed a single S2, Levine grade II/VI presystolic murmur in the 5th left sternal border, and a right parasternal impulse. Echocardiography showed dilated right chambers and absence of pulmonary valve leaflets. Doppler echocardiography at the pulmonary annulus revealed a 'to and fro' pattern. Cardiac catheterization indicated the same diastolic pressures in the pulmonary artery and right ventricle. The diagnosis was absent pulmonary valve syndrome. Administration of a diuretic agent resulted in almost immediate improvement of symptoms. Absent pulmonary valve syndrome, generally associated with tetralogy of Fallot, often causes severe respiratory failure or right heart failure during infancy. A case of such long survival without associated cardiac anomalies is very rare.
Journal of cardiology.J Cardiol.2005 Apr;45(4):165-71.
A 79-year-old woman was admitted for exertional dyspnea in September 2001. She had begun to experience unusual fatigue from the age of 40 years. Cardiac examination revealed a single S2, Levine grade II/VI presystolic murmur in the 5th left sternal border, and a right parasternal impulse. Echocardio
PMID 15875539

[Influence of detomidine on echocardiographic function parameters and cardiac hemodynamics in horses with and without heart murmur].

Gehlen H1, Kroker K, Deegen E, Stadler P.Author information 1Klinik für Pferde, Tierärztliche Hochschule Hannover. heidrun.gehlen@tiho-hannover.deAbstract30 warmblood horses were examined before and after sedation with 20 micrograms/kg BW detomidine, to determine changes of cardiac function parameters, using B-mode, M-mode and Doppler echocardiography. 15 horses showed a heart murmur, but no clinical signs of cardiac heart failure, 15 horses had neither a heart murmur nor other signs of cardiac disease. After sedation with detomidine we could recognise a significant increase of end-diastolic left atrium diameter, an increase of end-systolic left ventricular diameter and aortic root diameter. The end-systolic thickness of papillary muscle and interventricular septum showed a decrease. Fractional shortening and amplitude of left ventricular wall motion was decreased after sedation. The mitral valve echogram revealed a presystolic valve closure and an inflection in the Ac slope (B-notch) in xy horses before sedation. Both increased after sedation with detomidine. Doppler echocardiography showed a decrease of blood flow velocity and velocity time integral (VTI) in the left and right ventricular outflow tract after sedation. Regurgitant flow signals were intensified following sedation in xy horses, especially at the mitral valve.
Schweizer Archiv für Tierheilkunde.Schweiz Arch Tierheilkd.2004 Mar;146(3):119-26.
30 warmblood horses were examined before and after sedation with 20 micrograms/kg BW detomidine, to determine changes of cardiac function parameters, using B-mode, M-mode and Doppler echocardiography. 15 horses showed a heart murmur, but no clinical signs of cardiac heart failure, 15 horses had neit
PMID 15060976

Japanese Journal

The Austin Flint Murmur Phonocardiographic and Patho-anatomical Study

UEDA Hideo,SAKAMOTO Tsuguya,KAWAI Nobuyoshi,WATANABE Hiroshi,UOZUMI Zen'ichiro,OKADA Ryozo,KOBAYASHI Tohru,YAMADA Tetsuro,INOUE Kiyoshi,KAITO Goro
Japanese Heart Journal 6(4), 294-312, 1965
… Based on 15 autopsy cases including 13 of isolated aortic insufficiency and 2 of dissecting aortic aneurysm, the phonocardiogram of the Austin Flint murmur was analysed and the patho-anatomical determinant was investigated.The Austin Flint murmur was not infrequent in cases of severe aortic insufficiency, and the phonocardiogram as well as the auscultation revealed this murmur in all 15 cases. …
NAID 130000768241

Phonocardiographic Study of Hyperthyroidism

Ueda H.,UOZUMI Zen'ichiro,WATANABE Hiroshi,KOBAYASHI Tohru,KAWAI Nobuyoshi,MATUURA Tohru,IWASE Tohru
Japanese Heart Journal 4(6), 509-523, 1963
… The fourth heart sound had a trend of accentuation, but it was inaudible except in 3 cases with presystolic click.(4) A systolic murmur was found in all cases. …
NAID 130000767563

Heart Sounds and Murmurs in Rheumatic Valvular Aortic Stenosis:A Physiologic Approach Systemic Review and Personal Contribution

Calo A.A.
Japanese Heart Journal 3(4), 299-312, 1962
… Accentuation and splitting are usually due to marked exaggeration of the last component of the 1st sound (early systolic click, ejection sound).The systolic murmur, practically constant, may be alternans. …
NAID 130000765259