- Famous for first describing the Graham Steell murmur- a high pitched early diastolic murmur
- Born 1851
- Educated at the Edinburgh Academy.
- Originally he wanted to be a soldier, but was persuaded into medicine by his brother.
- 1872 – Qualified from Edinburgh University.
- 1873 – Became house-physician to George Balfour at the Edinburgh Royal Infirmary.
- 1883 – Moved to Manchester Royal Infirmary and conducted extensive research into fevers.
- 1888 – Contracted Tuberculosis.
- 1942 – died 10 January 1942 in his 91st year and was noted to have maintained his passion for medicine right up until his death.
Key Medical Attributions:
- First to describe the association of oedema and peripheral neuropathy in chronic alcoholics and in patients with Beri-Beri. Later identified as a result of Thiamine deficiency
- Graham Steell murmur – first described to the Manchester Medical Society in 1888. Described as a high pitched early diastolic murmur heard best at left sternal edge, 2nd intercostal space in full inspiration. He attributed its origin to pulmonary regurgitation caused by high pressure in the pulmonary artery in patients with mitral stenosis, and not disease of the pulmonary valve itself
- Steel G. Physical Signs of Cardiac Disease. 1881. [Archive Text]
- Steel G. Thesis “On Scarlatina”. 1887.
- Steel G. Murmur of high-pressure in pulmonary artery. Med Chronicle. 1888;9:182
- Steel G. The Use of the Sphygmograph in Clinical Medicine. 1889. [Archive Text]
- Steell G. Mitral regurgitation. Practitioner. Vol. 47, no. 2 (Aug. 1891).
- Steell G. Diastolic murmur in dilatation of the heart without arterial incompetence or auriculo-ventricular constriction. Practitioner. Vol. 52, no. 4 (Apr. 1894).
- Steell G. A Clinical Lecture on Pericarditis: Delivered at the Manchester Royal Infirmary. Br Med J. 1900 Jan 27;1(2039):181-3. [PMC2505426]
- Steell G. Text-book on diseases of the heart. 1906. [Archive Text]
- Dr Steell no stranger to ill-health, having contracted typhoid and typhus and was off work for a number of months in 1888 due to tubercle bacilli found in his sputum
- Bramwell C. Graham Steell. Br Heart J. 1942 Jul; 4(3): 115–119. [PMC503491] [Graham Steell Portrait]
- Brest, AN, Udhoji V, Likoff W. A Re-Evaluation of the Graham-Steell Murmur. N Engl J Med 1960; 263:1229-1231 [NEJM]
- Cohn KE, Hullgren HN. The Graham-Steell Murmur Re-Evaluated. N Engl J Med 1966; 274:486-489. [NEJM]
- Fraser AG, Weston CF.The Graham Steell murmur: eponymous serendipity? J R Coll Physicians Lond. 1991 Jan;25(1):66-70. [PMID 2023159]
- Review: Graham Steell (1851-1942) JAMA. 1965 Feb 22;191:671.
- Ma I, Tierney LM. Name that murmur–eponyms for the astute auscultician. N Engl J Med. 2010 Nov 25;363(22):2164-8.[PMID 21105801]
- Malik PK, Ahmad M, Rani A, Dwivedi S. The men who picked the truant notes in heart sounds. Astrocyte 2015;1:305-8. [PDF]
LITFL Related Links
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