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abnormally Abstract of paper albuminuria amination amyl nitrite Annual Meeting Assn aortic second sound apex arterial blood pres arterial blood pressure arterial pressure auscultation average normal beat Boston Medical Library cardiac cycle cardiac disease cardiac hypertrophy cardiac rate cardiovascular cent cerebral hemorrhage changes chest wall clinician closure deaths from heart detection dias diastolic blood pressures diastolic mur diastolic murmurs diastolic pressure England Heart Association etiology expected number factors family history functional murmur Gallop Rhythm glycosuria group with mitral healthy heart disease heart murmur history of renal importance Increase in intensity individuals insurance company Insurance Medical Directors investigation loud low-pitched mean disease mitral regurgitation mitral stenosis number of deaths patient pertension Proc pulmonary valves Reduplication renal colic rheumatic fever sound is heard sound may become stethoscope systolic and diastolic systolic murmur third heart sound third sound thyrotoxicosis tion treatment tricuspid valves usually valvular valvulitis ventricular vibrations