EARLY SYSTOLIC MURMURS

Question 1

name the types?

Answer 1

mitral regurgitation

tricuspid regurgitation

ventricular septal defect

Question 2

Regurgitant flow is maximal at the beginning of systole and decreases with increasing left atrial pressure
-> decrescendo configuration is common.

Answer 2

Mitral regurgitation

Question 3

May be seen in primary tricuspid regurgitation with normal right ventricular systolic pressure (ex:
infective endocarditis in drug addicts)

Early systolic murmur with a decrescendo configuration

Answer 3

Tricuspid regurgitation

Question 4

In large VSD with pulmonary hypertension, the murmur may be early systolic in timing, since the
increasing right ventricular pressure during late systole decreases the left-to-right shunt; findings of
pulmonary hypertension are always present

Answer 4

Ventricular septal defect