Cardiac Murmurs Flashcards
1
Q
Most reliable indicator of degree of MS?
A
A2-OS interval
A2 - P2 -OS
2
Q
Systolic murmurs
A
MR ASS
MR, MVP, AS — Systolic
+ DCM, HCM, ASD, VSD
3
Q
Diastolic murmurs
A
MS ARDS
MS, AR — DiaStolic
4
Q
Continuous murmurs
A
PDA
- machine like
5
Q
Murmur heard @ RUSB
A
AS
- crescendo-decrescendo
- soft A2
6
Q
Murmur heard @ apex w radiation to axilla
A
MR
7
Q
Murmur heard @ mid LSB
A
HCM
- crescendo-decrescendo
8
Q
Late systolic murmur w mid-systolic click
A
MVP
9
Q
Murmur heard @ LSB, holosystolic
A
VSD
10
Q
Midsystolic mur,mur w wide; fixed split
A
ASD
11
Q
Murmur heard @ RUSBor LUSB
A
AR
- Decrescendo
- end of expiration
RUSB in Marfan (aortic root dilation)
L 3rd ICS in RHD, Bicuspid aortic valve)
12
Q
Mid-diastolic rumble w presupystolic accentuation
A
OPENING SNAP : MS
13
Q
Murmur best heard w pt sitting upright and leaning forward
A
AR
- end of expiration
- minimized lung vol w heart closer to chest wall inc L sided murmurs
14
Q
What inc L sided murmurs?
A
Leaning forward
- minimized lung vol w heart closer to chest wall inc L sided murmurs
15
Q
HCM vs AS murmur
A
Inc LVV (squatting)
- inc murmur intensity in AS
- dec murmur intensity in HCM d/t dec blood thought LVOT
