Murmurs Flashcards
Normal splitting is appreciated in?
The young and patients with RBBB
Normal or physiologic splitting of the aortic and pulmonic vallve increases with?
Inspiration
Decreases with expiration
An unusually narrowly split or singular S2 is usually found in?
Pulmonary hypertension
Grade of cardiac murmur where a thrill is present
Grade 4
timing of systolic murmurs
early, made, late, or holosystolic
severe MR with posterior leaflet prolapse or flail radiates where?
anteriorly and to the base
MR with anterior leaflet involvement radiates where?
posteriorly and to the axilla
most common cause of midsystolic murmur in adult
AS
maneuvers that will decrease preload and thereby increase intensify mumurs of HOCM
valslva
HOCM murmurs are reduced on auscultation by what mechanism?
increasing preload like squatting or leg raising
late systolic murmur heard best at the apex
MVP
holosystolic mumurs are heard on?
VSD, MR, TR
the murmur of MR is heard best where?
over the cardiac office
intensity of MR murmur increases in intensity with what maneuvers?
increasing afterload
e.g. prolonged hand grip
murmur of VSD is loudest in?
mid-left sternal border, accompanied usually with a thrill
