murmurs Flashcards
what are the systolic murmurs?
MR PASS MVP
mitral regurgitation (physiological)
aortic stenosis
systolic
mitral valve prolapse
describe mitral regurgitation?
holosystolic murmur heard best at the apex and radiates to the axilla
describe aortic stenosis?
crescendo decrescendo systolic murmur that radiates to the carotids
describe mitral valve prolapse?
mid systolic click followed by a late systolic murmur heard best at the apex
what are the diastolic murmurs?
MS ARD
mitral stenosis
aortic regurgitation
diastolic murmurs
describe mitral stenosis?
low pitched rumbling diastolic murmur w/ opening snap
describe aortic regurgitation?
high pitched blowing early diastolic murmur
how does aortic stenosis present?
old pts
S - syncope
A - angina
D - dyspnoea
what is the most common cause of mitral regurgitation?
rheumatic fever (remember rheu-MITRAL fever)
what is the most common cause of mitral stenosis?
rheumatic fever (remember rheu-MITRAL fever)
what is the most common cause of tricuspid regurgitation?
history of IVDU (remember do you want to TRI some drugs)
what is the most likely diagnosis if a pts head is bopping in time w/ the heart beat?
aortic regurgitation
what is the classic presentation of hypertrophic cardiomyopathy?
FHx of sudden, early cardiac death
softer w/ leg raise
louder w/ valsava
what is the management of asymptomatic aortic stenosis?
observe
what is the management of symptomatic aortic stenosis?
surgery
