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From: Todd Leonard <toddl@in*.co*>
Date: Wed, 1 May 1996 13:03:09 -0400 (EDT)
To: techdiver@terra.net
Subject: asymptomatic heart murmur
The recent PFO posts started me off on a tangent thinking about heart 
murmurs.  When I was an infant, my parents were told I had a minor heart 
murmur.  It has apparently caused me no problems whatsoever, and in fact 
it was entirely forgotton until I was 13 or so and being prepped for 
surgery (totally unrelated -- it was to repair a thumb I'd cut pretty 
badly).  That was the only time I can remember anybody even noticing it.

So, to my questions... Is there any relationship between PFOs and heart 
murmors?  Does having one suggest a greater chance of having the other?  
Is an asymptomatic heart murmor as I've described any cause for concern
or caution as it relates to diving?

When I was a kid the doc described a heart murmor as a "slight leak in
a valve" that allowed a fraction of the blood to flow backward on a
given heartbeat, but that that same blood would just go on through the 
valve the next time and a different fraction would get left behind, and 
so on.  From recent reading, however, I gather that this is a bit of an 
oversimplification and that there can be more than one possible cause.  
If all the blood still follows the normal route through the circulatory 
system I don't see how it could influence DCS, but I'm hoping someone 
here will have a better understanding and be able to confirm that.

- Todd

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