Dock’s murmur: Early diastolic murmur similar to that of aortic regurgitation and is heard at the left second or third intercostal space.
Dock’s murmur occurs when there is a severe stenosis of the left anterior descending coronary artery. The murmur produced is diastolic since the coronary arteries fill in diastole. It is described as early diastolic and decrescendo sounding similar to the murmur of aortic regurgitation.
Particular care should be taken if a physician finds an early diastolic murmur in a young male patient with atypical chest pain, no history of aortic regurgitation and “Wellenoid” type T-wave abnormalities. If a Dock’s murmur is found in a patient presenting with a possible Wellens syndrome, coronary flow imaging may help to diagnose and expedite management of critical LAD stenosis.
- William Dock (1898–1990)
- Dock W, Zoneraich S. A diastolic murmur arising in a stenosed coronary artery. Am J Med. 1967 Apr;42(4):617-9. [PMID 6023006]
- Stankovic I et al. An Echocardiographic Illustration of the Dock’s Murmur in a Patient With Wellens Syndrome. Can J Cardiol. 2016 Dec;32(12):1578.e3-1578.e5
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