Carey Coombs Breath is a clinical sign that appears in patients with mitral valve involvement during an acute episode of rheumatic fever. It is described as a short, mesodiastolic murmur that is best heard in the apex and disappears when valvular affectation improves. It is commonly associated with a S3 gallop rhythm and can be distinguished from the diastolic murmur of mitral stenosis by the absence of opening crack. Breath is caused by increased blood flow through the stented valve.
http://escuela.med.puc.cl/Publ/ManualSemiologia/280ExamenCorazon.htm
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