Highlights historical perspectives on the etiology of aortic systolic murmurs in older adults, noting causes beyond rheumatic valvulitis such as infundibular narrowing.
May broaden differentials for aortic systolic murmurs in older adults; leaves open validation of historical etiologies in modern cohorts.
While clinicians are well aware of the high incidence of systolic murmurs in persons past middle age, only a few studies have been devoted to them. A number of investigators have appreciated that the aortic valvular deformities, sometimes responsible for these murmurs, were not necessarily due to rheumatic valvulitis (Broadbent and Broadbent, 1897; Dumas et al., 1927; Friedberg and Sohval, 1939; Rednick, 1942; Evans, 1947). Others have emphasized the role of infundibular narrowing in the genesis of these murmurs (Gallavardin, 1924; Giraud and Bert, 1936).
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Bruns et al. (1958) studied this question.
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