Systolic Murmurs Flashcards
What are the main systolic murmurs?
Aortic stenosis
Mitral regurgitation
Tricuspid regurgitation
What type of murmur is aortic stenosis?
Crescendo-descrendo (ejection systolic)
Where is aortic stenosis heard?
Aortic area
- 2nd IC right sternal edge
How can aortic murmurs be made louder?
Lean patient forward
When is aortic stenosis louder?
Expiration
- intrathoracic pressure increases
Does aortic stenosis radiate?
Yes to carotid artery
What type of murmur is mitral regurgitation?
Pansystolic murmur
Where is mitral regurg heard?
Mitral area
- apex beat
How can mitral murmurs be made louder?
Use bell in axilla and roll patient
When in mitral regurg loudest?
Expiration
Does mitral regurg radiate?
Yes to axilla
What type of murmur is tricuspid regurg?
Pansystolic murmur
Where is tricuspid regurg heard?
Tricuspid area
- left lower sternal edge
When is tricuspid regurg loudest?
Inspiration
What is another sign of tricuspid regurg?
Large ‘v waves’ in JVP
Pulsatile hepatomegaly
