II. History
- First described by Dr. George Still (1909)
III. Epidemiology
- Common in children ages 2 to 8 years old (peaks age 3 to 6 years)
IV. Physiology
- Unknown cause
- May be due to the sound of Blood Flowing into aorta, or across the chodae tendinae
V. Signs
- Low to medium frequency, mid-systolic murmur
- Intensity: Grade 1-3 of 6 (variable)
- Location: near apex to lower left sternal border
- Character
- Low to medium pitch
- Vibratory, harmonic, musical, twanging, groaning
- Provocative conditions and positions (increased murmur)
VI. Differential Diagnosis
- Ventricular Septal Defect
- Left ventricular outflow obstruction
- Hypertrophic Cardiomyopathy
VII. Course
VIII. Resources
- Still's Murmur (USMLE Clinic, YouTube)
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Finding (T033) |
| English | Still's murmur |
| Czech | Stillův šelest |
| Dutch | pizzicatoruis |
| French | Souffle de Still |
| German | Still'sches Herzgeraeusch |
| Hungarian | Still-zörej |
| Italian | Soffio di Still |
| Spanish | Soplo de Still |
| Japanese | ｽﾁﾙｻﾞﾂｵﾝ, スチル雑音 |
| Portuguese | Sopro de Still |
