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Diastolic Heart Murmurs (5 star!!!) Flashcards

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1
Q

4 diastolic heart murmurs

A
  1. aortic regurgitation
  2. pulmonic regurgitation
  3. mitral stenosis
  4. tricuspid stenosis
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2
Q

after what heart sound would diastolic murmurs be heard

A

S2

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3
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

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4
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

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5
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

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6
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

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7
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

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8
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
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9
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

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10
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

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11
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

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12
Q

after what heart sound would diastolic murmurs be heard

A

S2

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13
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

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14
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

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15
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

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16
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

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17
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

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18
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
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19
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

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20
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

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21
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

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22
Q

after what heart sound would diastolic murmurs be heard

A

S2

How well did you know this?
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23
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

How well did you know this?
1
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2
3
4
5
Perfectly
25
what can enhance mitral stenosis murmur
maneuvers that ↑ LA return like expiration
26
immediate high-pitched, blowing diastolic murmur; decrescendo
aortic regurgitation
27
what can ↑ intensity of aortic regurgitation
hand grip--> anything that increases SVR or afterload
28
causes of aortic regurgitation (3)
1. aortic root dilation (syphilis and Marfans) 2. Bicuspid aortic valve 3. rheumatic fever (or endocarditis)
29
2 classic signs seen with aortic regurg
1. head bobbing | 2. bounding pulses--> due to widened pulse pressure
30
left sternal border usually means which valve is being auscultated
pulmonic--> can hear both pulmonic or aortic regurg here
31
where is a PDA best heard?
left infraclavicular area--> loudest at S2
32
after what heart sound would diastolic murmurs be heard
S2
33
rumbling late diastolic murmur with opening snap
mitral stenosis *does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips
34
what can cause mitral stenosis
rheumatic fever; chronic M. stenosis can result in left atrial dilation
35
what can enhance mitral stenosis murmur
maneuvers that ↑ LA return like expiration
36
immediate high-pitched, blowing diastolic murmur; decrescendo
aortic regurgitation
37
what can ↑ intensity of aortic regurgitation
hand grip--> anything that increases SVR or afterload
38
causes of aortic regurgitation (3)
1. aortic root dilation (syphilis and Marfans) 2. Bicuspid aortic valve 3. rheumatic fever (or endocarditis)
39
2 classic signs seen with aortic regurg
1. head bobbing | 2. bounding pulses--> due to widened pulse pressure
40
left sternal border usually means which valve is being auscultated
pulmonic--> can hear both pulmonic or aortic regurg here
41
where is a PDA best heard?
left infraclavicular area--> loudest at S2
42
after what heart sound would diastolic murmurs be heard
S2
43
rumbling late diastolic murmur with opening snap
mitral stenosis *does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips
44
what can cause mitral stenosis
rheumatic fever; chronic M. stenosis can result in left atrial dilation
45
what can enhance mitral stenosis murmur
maneuvers that ↑ LA return like expiration
46
immediate high-pitched, blowing diastolic murmur; decrescendo
aortic regurgitation
47
what can ↑ intensity of aortic regurgitation
hand grip--> anything that increases SVR or afterload
48
causes of aortic regurgitation (3)
1. aortic root dilation (syphilis and Marfans) 2. Bicuspid aortic valve 3. rheumatic fever (or endocarditis)
49
2 classic signs seen with aortic regurg
1. head bobbing | 2. bounding pulses--> due to widened pulse pressure
50
left sternal border usually means which valve is being auscultated
pulmonic--> can hear both pulmonic or aortic regurg here
51
where is a PDA best heard?
left infraclavicular area--> loudest at S2
52
after what heart sound would diastolic murmurs be heard
S2
53
rumbling late diastolic murmur with opening snap
mitral stenosis *does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips
54
what can cause mitral stenosis
rheumatic fever; chronic M. stenosis can result in left atrial dilation
55
what can enhance mitral stenosis murmur
maneuvers that ↑ LA return like expiration
56
immediate high-pitched, blowing diastolic murmur; decrescendo
aortic regurgitation
57
what can ↑ intensity of aortic regurgitation
hand grip--> anything that increases SVR or afterload
58
causes of aortic regurgitation (3)
1. aortic root dilation (syphilis and Marfans) 2. Bicuspid aortic valve 3. rheumatic fever (or endocarditis)
59
2 classic signs seen with aortic regurg
1. head bobbing | 2. bounding pulses--> due to widened pulse pressure
60
left sternal border usually means which valve is being auscultated
pulmonic--> can hear both pulmonic or aortic regurg here
61
where is a PDA best heard?
left infraclavicular area--> loudest at S2
62
after what heart sound would diastolic murmurs be heard
S2
63
rumbling late diastolic murmur with opening snap
mitral stenosis *does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips
64
what can cause mitral stenosis
rheumatic fever; chronic M. stenosis can result in left atrial dilation
65
what can enhance mitral stenosis murmur
maneuvers that ↑ LA return like expiration
66
immediate high-pitched, blowing diastolic murmur; decrescendo
aortic regurgitation
67
what can ↑ intensity of aortic regurgitation
hand grip--> anything that increases SVR or afterload
68
causes of aortic regurgitation (3)
1. aortic root dilation (syphilis and Marfans) 2. Bicuspid aortic valve 3. rheumatic fever (or endocarditis)
69
2 classic signs seen with aortic regurg
1. head bobbing | 2. bounding pulses--> due to widened pulse pressure
70
left sternal border usually means which valve is being auscultated
pulmonic--> can hear both pulmonic or aortic regurg here
71
where is a PDA best heard?
left infraclavicular area--> loudest at S2
72
after what heart sound would diastolic murmurs be heard
S2
73
rumbling late diastolic murmur with opening snap
mitral stenosis *does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips
74
what can cause mitral stenosis
rheumatic fever; chronic M. stenosis can result in left atrial dilation
75
what can enhance mitral stenosis murmur
maneuvers that ↑ LA return like expiration
76
immediate high-pitched, blowing diastolic murmur; decrescendo
aortic regurgitation
77
what can ↑ intensity of aortic regurgitation
hand grip--> anything that increases SVR or afterload
78
causes of aortic regurgitation (3)
1. aortic root dilation (syphilis and Marfans) 2. Bicuspid aortic valve 3. rheumatic fever (or endocarditis)
79
2 classic signs seen with aortic regurg
1. head bobbing | 2. bounding pulses--> due to widened pulse pressure
80
left sternal border usually means which valve is being auscultated
pulmonic--> can hear both pulmonic or aortic regurg here
81
where is a PDA best heard?
left infraclavicular area--> loudest at S2

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