Cardiac Murmurs Flashcards
1
Q
Pansystolic Murmurs
A
Mitral regurgitation
Tricuspid regurgitation
VSD
Aortopulmonary shunts
2
Q
Mid-systolic Murmurs
A
Aortic stenosis
Pulmonic stenosis
HOCM
Pulmonary flow ASD
3
Q
Early Systolic Murmurs
A
VSD
Acute Mitral Regurgitation
Tri-cuspid Regurgitation
4
Q
Late Systolic Murmur
A
Mitral Valve Prolapse
Papillary dysfunction
5
Q
Mitral Stenosis - Sx of Severity
A
Narrow pulse pressure Early opening snap Length of murmur Diastolic thrill Signs of pulmonary HTN
*AF = chronicity
Right axis deviation = severe disease
6
Q
HOCM - Signs of HOCM
A
Ejection systolic over L 3rd ICS Radiates to the base Louder with valsalva Normal volume pulse Prominent A wave Systolic thrill L sternal border S4
7
Q
HOCM - Risk Factors for Poor Outcome
A
syncope family history of sudden cardiac death poor BP response to exercise ventricular arrhythmias on Holter outflow tract 18mm on Echo
