murmur deck Flashcards
crescendo/decrescendo systolic murmur best heard at the right upper sternal border
Aortic valve stenosis
crescendo/decrescendo systolic murmur best heard at the right upper sternal border with systolic ejection click after S1.
Bicuspid aortic valve.
Holosystolic murmur at apex. radiates to axilla.
Mitral Regurg
Crescendo Decrescendo M heart at left upper sternal border, decreases with inspiration, systolic ejection click.
Pulmonic vein stenosis.
Holosystolic murmur at left lower sternal.
Murmur increase with inspiration
Tricuspid regurgitation.
systolic crescendo-decrescendo murmur best heard at the left lower sternal border. Valsalva maneuver will increase the intensity of the murmur, as will changing positions from squatting to standing.
Hypertrophic obstructive cardiomyopathy
systolic crescendo-decrescendo murmur best heard at the right upper sternal border.
fixed, split S2 and a right ventricular heave
Atrial septal defect
holosystolic murmur at the left lower sternal border, associated with a palpable thrill, and increases with isometric handgrip
Ventricular septal defect
Decrescendo murmur heart at apical impulse:
Severe MR. Caused by:
Papillary M rupture
Infective endocarditis
Rupture of Chordae Tendinae
Blunt chest wall trauma.
Early systolic M causes:
Severe acute MR, Tricuspid Regurg, congenital
A2 decreases with worsened:
aortic stenosis
Midsystolic murmur: Crescendo-Decrescendo.
Innocent, Physiological:Hyperdynamic anemia, pregnant, fever, hyperthyroid, pathological: AS, HCM, PS
Murmur begins with S1 and continues up to S2
Pathologic
MR, TR, VSD
MR loudest at apex.
associated with systolic thrill, soft S3, short Diastolic rumbling best heard left lateral decubitis.
Mitral valve regurg.
2nd ICS at left sternal border.
High pitched, Decrescendo.
Radiates to LSB
AR with primary valvular pathology
