Murmurs

Question 1

Describe murmur in Aortic Stenosis?

Answer 1

Ejection systolic murmur heard at the Aortic area
2nd ICS right sternal edge

• can radiate to the carotids
• reduced by valsalva maenouvre
• associated with narrow pulse pressure and sometimes a S4

Question 2

Describe murmur in Aortic Regurgitation?

Answer 2

early-diastolic murmur heard in the mitral area
4th ICS left sternal edge

• heard on leaning forward
• heard better in expiration

Question 3

Describe murmur in Mitral stenosis?

Answer 3

Mid-diastolic murmur heard in the mitral area

4th ICS left sternal edge/left lateral position

Question 4

Describe murmur in mitral Regurgitation?

Answer 4

Pansystolic murmur ‘blowing’ nature heard at the apex

• can radiate to the axilla

Question 5

Describe murmur in Pulmonary Stenosis?

Answer 5

Ejection systolic murmur at the pulmonary area

2nd ICS left upper sternal edge

Question 6

Describe murmur of Pulmonary Regurgitation?

Answer 6

Early diastolic murmur - high pitched blowing character

Question 7

Describe murmur in Tricuspid Stenosis?

Answer 7

Diastolic murmur at lower left sternal edge

Question 8

Describe murmur in Tricuspid Regurgitation?

Answer 8

Pansystolic murmur

-louder on inspiration

Question 9

Describe murmur in Mitral Valve Prolapse?

Answer 9

click and murmur combined and dynamic in nature

mid-systolic click when squatting and late systolic murmur when standing

Question 10

Describe murmur in Hypertrophic obstructive Cardiomyopathy?

Answer 10

mitral regurgitation

pansystolic murmur head at 5th ICS mid-clavicular line

Question 11

Describe murmur in ASD?

Answer 11

ejection systolic murmur with a fixed split S2

Question 12

Describe murmur in patent ductus arteriosus?

Answer 12

continuous machinery mumur

- sometimes may be heard over S2

Question 13

Describe murmur in TOF?

Answer 13

pulmonary stenosis = ejection systolic murmur heard more the the pulmonary area