1. Chest pain- Heart sounds and murmurs Flashcards
Ejection systolic murmur heard loudest in the aortic area radiating to the carotids
Aortic stenosis
Mid-diastolic rumbling murmur, heard best with the bell of the stethoscope at the apex with the patient in the left lateral position
Mitral stenosis
Pansystolic murmur heard loudest at the apex of the heart radiating to axilla
Mitral regurgitation
Early diastolic murmur heard best at the left 4th intercostal space with the patient sat forward in expiration
Aortic regurgitation
Describe what S1 is
S1 caused by closure of mitral and tricuspid valves
denotes start of systole (contraction of ventricles)
Peripheral pulse will be felt at same time or just after S1
Describe what S2 is
closure of aortic and pulmonary valves
end of systole and start of diastole
what actually is a heart murmur
a sound produced when blood flowing through the heart is turbulent
Describe what you would hear in aortic stenosis
Ejection (Cresendo-decresendo) systolic murmur
heard loudest in the aortic area
radiating to the carotids
describe what you would hear in aortic regurgitation
Early diastolic murmur
heard best at the left 4th intercostal space
the patient sat forward in expiration
describe what you would hear in mitral stenosis
Mid-diastolic rumbling murmur
heard best with the bell of the stethoscope at the apex
the patient in the left lateral position
describe what you would hear in mitral regurgitation
Pansystolic murmur
heard loudest at the apex of the heart
radiating to axilla
what conditions cause blood to flow faster through the heart causing functional murmurs
sepsis and thyrotoxicosis
