How does the murmur change?

Question 1

a person with hypertrophic obstructive cardiomyopathy performing the valsalva manuver. increase or decrease murmur?

Answer 1

increase the murmur.

any manuver that acts to decrease the left ventricle size will increase this murmur because the obstructive component increases as the left ventricular cavity shrinks.

valsalva maneuver decreases return of blood to the left ventricle which increases the intensity of hypertrophophic obstructive cardiomyopathy.

Question 2

what diseases do you see an increase (get worse)/paradoxical in murmur with valsalva manuever?

Answer 2

hocm and mitral valve prolapse

Question 3

will increasing or decreasing venous return to the heart make the murmur in hocm louder?

Answer 3

decreasing

Question 4

Left sided murmurs increase on a) expiration or b) inspiration?

Answer 4

Expiration