Maneuvers and murmurs FA 278

Question 1

Inspiration

Answer 1

increase Venour Return to Right atrium:

-increase intensity of right heart sounds

Question 2

Hand griping

Answer 2

Increase after load which leads to:

Increase: VSD, MR, AR
Decrease hypertrophic cardiomyopathy murmurs
MVP: later onset of click

Question 3

Valsalva maneuvers (baring down)
Standing up

Answer 3

Decrease preload

• Decrease intensity of most murmurs (especially AS)
• Increases hypertrophic cardiomyopathy murmur
• MVP: earlier onset of click murmur

Question 4

Rapid Squatting

Answer 4

Increase venous return, Increase preload

• Decrease of hypertrophic cardiomyopathy murmur
• increase intensity of Aortic stenosis