Murmurs Only Flashcards
Causes of acute MR vs. chronic MR
Acute MR: papillary/trabeculae dysfunction, IE, volume overload
Chronic: MVP, myxomatous degeneration
MR murmur
Blowing at apex and radiates to axilla
Decreased S1
TR is associated with what diseases?
Pulm HTN Lung disease RV infarct Inferior wall STEMI IE
TR murmur
Blowing at 4th ICS, increasing with inspiration
V wave on JVP
TR murmur
Aortic stenosis symptoms
DOE
Syncope
Angina
AS murmur
Crescendo-decrescendo murmur, harsh at 2nd ICS at RSB that radiates to sternal notch and carotids.
Decreased S2
PS is caused by:
Congential problems, like ToF
PS murmur
Crescendo-decrescendo murmur at the 2-3rd ICS at LSB that radiates to left shoulder/clavicle
VSD murmur
Holosystolic at LSB w/ thrill
Blowing at apex and radiates to axilla
Decreased S1
MR
Blowing at 4th ICS, increasing with inspiration
TR
Crescendo-decrescendo murmur, harsh at 2nd ICS at RSB that radiates to sternal notch and carotids.
Decreased S2
AS
Crescendo-decrescendo murmur at the 2-3rd ICS at LSB that radiates to left shoulder/clavicle
PS
At LSB w/ fixed splitting of S2
ASD
MS is caused by:
RHD
Congential
MACa++
MS murmur
Low pitched rumbling at apex with an increased S1 and S2 with an opening snap
TS is caused by?
RHD, assoc. with MS (F>M)
TS murmur
At LSB, increasing w/ inspiration
A wave on JVP
TS
Acute vs. chronic causes of AR
Acute - IE, aortic dissection, trauma
Chronic - calcification, BAV, etc.
Pathology of AR
Vol overload -> LVH -> LSHF
AR murmur
Decrescendo murmur at 3rd ICS at LSB
Low pitched rumbling at apex with an increased S1 and S2 with an opening snap
MS
At LSB, increasing w/ inspiration
TS
Decrescendo murmur at 3rd ICS at LSB
AR
ACE-I and ARBs are given to which patients?
AR patients
