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Flashcards in Heart Murmurs Deck (12):
1

What valvulopathy typically shows up in pregnancy?

MS

2

What is the typical sound of mitral stenosis?

opening snap followed by a diastolic rumble

3

What valvulopathy would present as a harch systolic murmur in the 2nd-3rd left intercostal spaces?

pulmonic stenosis

4

Murmurs on which side of the heart will get louder on inspiration?

right

5

Why will right sided murmurs get louder on inspiration?

negative intrathoracic pressure increases venous return to the RA

6

What does the hand-grip maneuver do in terms of pressures?

increases systemic vascular resistance

7

What does the Valsalva maneuver do in terms of cardiac filling?

reduces venous return to heart

8

What does the Valsalva maneuver do to most heart murmurs?

makes them quieter

9

What does the Valsalva maneuver do to preload and afterload?

Decreases preload
Increases afterload

10

Which heart murmurs get louder w/ the Valsalva maneuver?

mitral prolapse and hypertrophic cardiomyopathy

11

What maneuver makes the murmurs of hypertrophic cardiomyopathy and mitral prolapse softer?

squatting

12

What does squatting do to venous return and peripheral vascular resistance?

increases both