Heart Murmurs Flashcards
AortiC Stenosis
Crescendo-decrescendo murmur Calcified aortic valve Patient is old and sad Radiates up to carotids Louder while performing valsalva maneuver and squatting
Mitral Regurgitation
"Rheu-mitral" Radiates to the axilla Best heard at apex (5th Intercostal space) Holosystolic murmur Decreased S1 sound
TRIcuspid Regurgitation
Holosysytolic murmur
History of IV drug use
Radiates to right sternal border
Want to “TRI” some drugs?”
Aortic Regurgitation
Early blowing diastolic murmur
Patient presents with: Connective tissue disorders, Marfan’s syndrome, “Head-bobbing”, Water-Hammer pulse, Femoral Bruits
“AR, that she BLOWS”
Mitral Stenosis
Opening Snap
RHEUmitral: history of rheumatic fever
“The OS is the MS” -> The Operating System is MicroSoft
HOCM: Hypertrophic obstructive cardiomyopathy
Family history of sudden cardiac death at a young age
Utilize specific maneuvers to identify it
LOUDER WITH DECREASED PRELOAD AND AFTERLOAD
SOFTER WITH INCREASED PRELOAD AND AFTERLOAD
Mitral Valve Prolapse
Midsystolic “click”
Clinical Presentation: young woman with a pysch history
Myxomatous valvular disease in the stem question
“See the MVP, to be the MVP, and everything will CLICK.”
What makes a loud murmur loud on on the right side?
Inspiration: Rinspriation: tricuspid and pulmonic heart valves louder
What makes a loud murmur loud on the left side?
Expiration: Lexpiration: mitral and aortic valves louder
Where would you listen for the aortic valve sound?
Right 2nd Intercostal space (ICS)
Where would you listen for the pulmonic valve sound?
Left 2nd ICS
Where would you listen for the Tricuspid valve sound?
Left 4th ICS
Where would you listen to the Mitral valve sound?
Left 5th ICS mid clavicular line
On what leads of an ECG, would I best see an inferior MI?
Leads 2, 3, aVF (inferior leads)
On what leads of an ECG would I best see an MI in the coronary vessel known as the “widow maker?”
1) widow maker = LAD or Anterior interventricular artery
2) LAD found on anterior surface of heart
3) Leads V3 and V4 on anterior
So V3 and V4 are the answers
