Heart Murmur Flashcards
MR/TR sound quality
Holosystolic, high pitched “blowing murmur”
MR is loudest at the _____ and radiates towards the ______
apex, axilla
What enhances MR?
- increase TPR (squatting, hand gripping)
- LA return (exhalation)
MR is often due to…
- Ischemic Heart Disease
- Mitral Valve Prolapse
- LV dilation
- Rheumatic Fever
- Infective endocarditis
TR is loudest at the ______ area and radiates to the ______.
Tricuspid area, R sternal border
What enhances TR?
-Increased RA return (inspiration)
TR is often due to…
- RV dilation
- Rheumatic Fever
- Infective endocarditis
AS sound quality
Crescendo-decrescendo systolic ejection murmur following EC
AS radiates to _____
carotids/heart base
AS pulses are _______ with a _______ peak
weak, delayed
AS can lead to…
SAD
Syncope, Angina, Dyspnea on exertion
AS is often due to…
- Age related calcific aortic stenosis
- Bicuspid aortic valve
VSD sound quality
Holosystolic, harsh-sounding murmur
VSD is loudest at _______
tricuspid area
VSD is accentuated with
hand grip maneuver
MVP sound quality
Late systolic crescendo murmur with midsystolic click
MVP is best heard over _______ and is loudest at ______
the apex, S2
MVP can predispose to…
Infective endocarditis
MVP can be enhanced by…
Decreased VR
MVP is often due to…
- Myxomatous degneration
- Rheumatic fever
- Chordae rupture
AR sound quality
Immediate high-pitched “blowing” diastolic decrescendo murmur
AR pulses are ______ when chronic and patient can present with ______ pulses and ________
wide, bouding, head bobbing
AR is often caused by…
- Aortic root dilation
- bicuspid aortic valve
- endocarditis
- rheumatic fever
AR is enhanced by…
Hand grip
