follow-up observation in a patient with dilated cardiomyopathy revealed that the heart was not enlarged ( ctr 50 % ) , no murmur was heard and mild anterior mitral leaflet prolapse was observed in 1979 , but , in 1981 , ctr became 63 % , and a grade iv systolic murmur suggesting mitral regurgitation was noted .
C0018808
murmur
C0232257
systolic murmur