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Pediatric-Heart Murmurs

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Valve Anomally
Location
Radiation
Intensity
Pitch
Quality
Aid
Mitral Stenosis   Usually limited to apex   Little or none   Grade 1 to 4   Low. use bell   OS follows S2   Bell on apex, pt in LL pos. on exhilation  
Aortic Stenosis   2nd RT   neck and L sternal boder, apex   soft but often loud, w/ thrill   medium-high@apex   harsh, musical at apex, diamond shape   pt sitting/leaning fwd  
Tricuspid Regurgitation   LL sternal border   RT sternum, xiphoid, Lt MCL   Variable   Medium   Blowing, holosystolic   Inspiration  
Ventricular Septal Defect   3,4,5th Left   often wide   very loud, w/ thrill   high   often harsh, holosystolic   Lf-Rt hole  
Mitral regurgitation   apex   Left axilla, Lt sternal boder   soft to loud,apical thrill   medium-high   blowing, holosystolic   Lf Vent-Rt Atrium  
Aortic regurgitaion   2-4th left   if loud to apex, Rt sternal boder   grade 1-3   high, use diaphragm   blowing, decrescendo diastolic   pt sitting/leaning fwd w/ breath held in exhilation  
             
             
             
             


   


 

 

 
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