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  • Title: Increased mitral valve insufficiency during precordial "whoop".
    Author: Shaikh A, Alam M, Garg SP.
    Journal: Chest; 1988 Jan; 93(1):209-10. PubMed ID: 3335159.
    Abstract:
    A patient with rheumatic mitral valve stenosis and regurgitation presented with shortness of breath and a "noise" in her chest. Cardiac auscultation revealed an intermittent late systolic "whoop." An increase in severity of mitral valve insufficiency during the periods of "whoop" was observed by pulsed Doppler, hemodynamic tracings and left ventriculography.
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