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exocardial
exocardial adj. 
/ˌɛksoʊˈkɑrdiəl/ Physiology pertaining to the exterior of the heart.
Brit. /ˌɛksə(ʊ)ˈkɑːdɪəl/
, /ˌɛksə(ʊ)ˈkɑːdɪəl/U.S. /ˌɛksəˈkɑrdiəl/
, /ˌɛksəˈkɑrdiəl//ˌɛksoʊˈkɑrdiəl/ΚΠ
1881 A. Flint Treat. Princ. Med. (ed. 5) 315 The sign is called..sometimes, in contradistinction from the murmur produced by blood-currents within the heart, an exocardial murmur.
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