Mitral valve prolapse systole is known as a holo-systolic murmur. A murmur that is mid to late systolic, although typically associated with less regurgitation, can still be associated with significant hemodynamic consequences. In contrast to most other heart murmurs, the murmur of mitral valve prolapse is accentuated by standing and valsalva maneuver (earlier systolic click and longer murmur) and diminished with squatting (later systolic click and shorter murmur). The only other heart murmur that follows this pattern is the murmur of hypertrophic cardiomyopathy. A MVP murmur can be distinguished from a hypertrophic cardiomyopathy murmur by the presence of a mid-systolic click which is
Gold Is Where You Find It Gold Is Where You Find It Gold is Where You Find It is a 1938 American romantic drama film directed by Michael Curtiz and starring George Brent, Olivia de Havilland, and Claude Rains. Based on a story by Clements Ripley, with a screenplay by Warren Duff and Robert Buckner, the film is about the rivalry between farmers and miners in the Sacramento valley 30 years after the California Gold Rush. The feud between the two factions is complicated when a man from one side and a woman from the other fall in love. This Technicolor feature film was released on