Murmurs Flashcards
Listen for aortic regurgitation and pulmonic regurgitation at the ________
LSB
Listen for hypertrophic cardiomyopathy at the _________
LSB
Listen for aortic stenosis, flow murmur at the _______
Aortic area
Listen for pulmonic stenosis, PDA at the _________
Pulmonic area
Listen for tricuspid regurgitation and VSD at the _________
Tricuspid area
Listen for tricuspid stenosis and ASD at the __________
Tricuspid area
Listen for mitral regurge/stenosis at the ________
Mitral area
Holosystolic, high-pitched blowing murmur - loudest at the apex, radiates toward axilla
mitral regurgitation
Inspiration increases
intensity of right heart sounds
Expiration increases
intensity of left heart sounds
MR is enhanced by
- Increases in afterload (squatting/hand grip)
2. LA return (expiration)
Holosystolic, high-pitched blowing murmur - loudest at the tricuspid area and radiates to the right sternal border
TR
TR is enhanced by
- RA return (inspiration)
Crescendo-decrescendo systolic ejection murmur following ejection click - radiates to carotids/heart base
Aortic stenosis
Pulsus parvus et tardus
Aortic stenosis
SAD - Syncope, Angina, Dyspnea on exertion
Aortic stenosis
Holosystolic, harsh-sounding murmur - loudest at the tricuspid area
VSD
VSD is enhanced by
- Increasing afterload (hand grip)
Late systolic crescendo murmur with midsystolic click - best heard over apex
MVP
Most frequent valvular lesion
MVP
MVP is enhanced by
- Decreased venous return (smaller cavity) - standing or valsalva
Immediate, high-pitched blowing diastolic decrescendo murmur
Aortic regurgitation
Wide pulse pressure, hyperdynamic circulation (bounding pulses, head bobbing, pulsating nail bed)
AR
AR is enhanced by
- Increased afterload (hand grip)
AR is made softer by
- Decreased afterload (vasodilators)
Delayed rumbling late diastolic murmur, follows opening snap
MS
MS is enhanced by
- Increased LA return (expiration)
Continuous machine like murmur, loudest at S2, often due to congenital rubella, best heard at infraclavicular/pulmonic area
PDA
