Heart Murmurs Flashcards

1
Q

What is Mitral Stenosis?

A

Narrowing of the mitral valve between the left atrium and ventricles preventing blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When and where is mitral stenosis heard upon auscultation?

A

Apex beat- left 5th ICS MCL during expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What part of the cardiac cycle does mitral stenosis occur?

A

mid-diastolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Characteristic of mitral stenosis murmur?

A

Low-pitched mid-diastolic murmur with an opening click

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is mitral regurgitation?

A

Mitral valve doesn’t close properly causing backflow into the left atrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When and where is mitral regurgitation heard?

A

Apex beat- left 5th ICS MCL during expiration
murmur radiates to the axilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What part of the cardiac cycle does mitral regurgitation occur?

A

pan-systolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Characteristic of mitral regurgitation murmur?

A

High-pitched whistling murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what can mitral regurgitation lead to

A

congestive heart failure due to reduced ejection fraction and a backflow of blood that is waiting to be ejected out from the left side of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is mitral valve prolapse and what can it cause?

A

Floppy mitral valve can cause mitral regurgitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When and where is mitral valve proplase heard?

A

Apex beat- left 5th ICS MCL during expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What part of the cardiac cycle does mitral valve prolapse occur?

A

mid systolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Characteristic of MVP?

A

midsystolic click

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Tricuspid Stenosis?

A

Narrowing of the tricuspid valve between the right atrium and ventricles preventing blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When and where is tricuspid stenosis heard?

A

During inspiration 3rd/4th ICS right sternal edge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What part of the cardiac cycle is tricuspid stenosis heard?

A

Mid-diastolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does mitral stenosis lead to?

A

Left ventricular hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what does tricuspid stenosis lead to?

A

Right atrial hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what does mitral regurgitation lead to?

A

left atrial dilation

20
Q

what does aortic stenosis lead to

A

left ventricular hypertrophy

21
Q

what does aortic regurgitation lead to?

A

left ventricular dilation

22
Q

What manoeuvre is good for is best for mitral regurgitation?

A

roll-on left side - use diaphragm

23
Q

What manoeuvre is good for is best for mitral stenosis?

A

roll-on left side - use bell

24
Q

Characteristic of tricuspid stenosis?

A

Mid-diastolic murmur- rarely audible

25
Q

Clinical feature of tricuspid stenosis?

A

peripheral oedema, ascites

26
Q

What is tricuspid regurgitation

A

tricuspid doesn’t close properly causing backflow back into the right atrium

27
Q

When and where is tricuspid regurgitation heard upon auscultation?

A

3rd/4ths ICS right sternal edge during inspiration

28
Q

What part of the cardiac cycle is tricuspid regurgitation heard

A

pan-systolic

29
Q

Clinical feature of tricuspid regurgitation?

A

right-sided heart failure, right ventricular heave, peripheral oedema, hepatomegaly, ascites

30
Q

Pulmonary Stenosis - when and where is it heard?

A

inspiration in left 2nd ICS left sternal edge

31
Q

Pulmonary stenosis- where is the cardiac cycle is it heard

A

ejection systolic

32
Q

characteristic of pulmonary stenosis

A

high-pitched and spilling murmur in S2

33
Q

Pulmonary regurgitation- when and where is it heard?

A

inspiration in left 2nd ICS left sternal edge

34
Q

Where in the cardiac cycle is pulmonary regurgitation heard?

A

Early diastolic

35
Q

Characteristic of pulmonary regurgitation

A

decrescendo murmur

36
Q

what causes pulmonary regurgitation

A

usually pulmonary hypertension

37
Q

Aortic stenosis- when and where is it heard?

A

expiration in left 2nd ICS right sternal edge

38
Q

where in the cardiac cycle is Aortic stenosis heard?

A

ejection systole

39
Q

Characteristic of aortic stenosis?

A

crescendo-decrescendo, radiates to carotids (diaphragm), best heard when patient is leaning forwards

40
Q

Aortic regurgitation- when and where is it heard?

A

expiration in left 2nd ICS right sternal edge

41
Q

what part of the cardiac cycle is aortic regurgitation heard?

A

early diastolic

42
Q

Characteristic of aortic regurgitation?

A

decrescendo early diastolic murmur

43
Q

What can severe aortic regurgitation cause?

A

Austin Flint murmur- low pitched rumbling mid-diastolic murmur. Heard best at the apex. Caused by regurgitated blood from aorta mixes with blood from left atrium

44
Q

What can severe aortic regurgitation cause?

A

Austin Flint murmur- low pitched rumbling mid-diastolic murmur. Heard best at the apex. Caused by regurgitated blood from aorta mixes with blood from left atrium

45
Q

What part of the cardiac cycle does aortic regurg, stenosis and mitral regurg and stenosis take place?

A

hARD ASS MRS MRD

Aortic Regurg= Diastolic
Aortic Stenosis= Systolic
Mitral Regurg= Stenosis
Mitral Regurg= Diastolic