click below
click below
Normal Size Small Size show me how
heart murmurs
classical findings
| disease | systolic / diastolic | murmur | physical exam |
|---|---|---|---|
| MR | systolic | blowing holosystolic murmur radiating to AXILLA | laterally displaced PMI, systolic thrill |
| TS | diastolic | diastolic rumble | murmur louder with inspiration |
| TR | systolic | blowing holosystolic murmur at LSB | jugular and hepatic pulsations; murmur louder with inspiration |
| AS | systolic | midsystolic crescendo-decrescendo murmur at 2nd right interspace; radiates to CAROTIDS and apex; S4 due to atrial kick | pulsus parvus et tardus (peripheral pulses weak and late compared to heart sounds) |
| AR | diastolic | 1) blowing early diastolic at aorta and LSB 2) Austin Flint = apical diastolic rumble 3) midsystolic flow murmur at base | W-I-D-E pulse pressure, laterally placed PMI, pulsus bisferiens |
| MS | diastolic | opening snap --> diastolic rumble | RV lift secondary to RVH |
| MVP | systolic | midsystolic click --> late systolic murmur | valsalva --> click earlier in systole, murmur prolonged |