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  • Cardiac Murmurs - 1p Cheat Sheet PDF

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    Pkern
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    This document provides information on cardiac murmurs including: - The timing of murmurs within the cardiac cycle for different conditions such as mid-systolic for aortic stenosis and holosystolic for mitral regurgitation. - The location where murmurs are best heard on the chest for different lesions, such as the aortic area for aortic stenosis and the left sternal edge for mitral stenosis. - Maneuvers like squatting or inspiration that can accentuate murmurs in conditions like pulmonary stenosis or ventricular septal defect.

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    Cardiac Murmurs - 1p Cheat Sheet.pdf

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    This document provides information on cardiac murmurs including: - The timing of murmurs within the cardiac cycle for different conditions such as mid-systolic for aortic stenosis and holosystolic for mitral regurgitation. - The location where murmurs are best heard on the chest for different lesions, such as the aortic area for aortic stenosis and the left sternal edge for mitral stenosis. - Maneuvers like squatting or inspiration that can accentuate murmurs in conditions like pulmonary stenosis or ventricular septal defect.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    325 views1 page

    Cardiac Murmurs - 1p Cheat Sheet PDF

    Uploaded by

    Pkern
    This document provides information on cardiac murmurs including: - The timing of murmurs within the cardiac cycle for different conditions such as mid-systolic for aortic stenosis and holosystolic for mitral regurgitation. - The location where murmurs are best heard on the chest for different lesions, such as the aortic area for aortic stenosis and the left sternal edge for mitral stenosis. - Maneuvers like squatting or inspiration that can accentuate murmurs in conditions like pulmonary stenosis or ventricular septal defect.

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    © All Rights Reserved
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    of 1

    Timing

    Timing

    Mid systolic (Ejection)

    Position where murmur is best heard

    Lesion

    Maneuvours to accentuate murmur

    Aortic area, clavicles & carotids, also apex

    Aortic Stenosis

    Squatting. Leg raise. Sitting in full Exp

    Left Sternal Edge (3-4th IC spaces)


    Lower LSE (4-5th IC spaces) & apex

    Pulmonary Stenosis
    Atrial Septal Defect
    Hypertrophic Cardiomyopathy

    Inspiration
    Accentuated on Standing. Valsalva

    Atrial Septal Defect

    Systolic
    Late Systolic

    Pansystolic

    Aortic or Pulmonary areas

    Anaemia, Thyrotoxicosis, Pregnancy

    Lower LSE & apex

    Hypertrophic Cardiomyopathy

    Accentuated on Standing. Valsalva

    Apex

    Mitrial Valve Prolapse

    Earlier & louder with Valsalva

    Left Sternal edge

    Coarctation of the Aorta

    Apex to Axilla

    Mitrial Regurg (blowing, high freq)

    Left Sternal edge

    Tricuspid Regurg (low pitched)

    Squatting, leg raise, hand grip

    Ventricular Septal Defect


    Early Diastolic

    LSE (3-4th IC spaces) & Apex

    Aortic Regurg (blowing, high pitched)

    Sitting forward in full expiration

    Right (or Left) Sternal edge

    Pulmonary Regurg

    Inspiration

    Apex

    Mitral Stenosis (low freq, rumbling)

    Left lateral position

    Murmur
    Diastolic

    Mid Diastolic

    Austin Flint (aortic regurg)


    Left Sternal edge

    Tricuspid Stenosis

    Late Diastolic

    Apex

    Mitral Stenosis

    (Presystolic)

    Left Sternal edge

    Tricuspid Stenosis

    Left lateral position

    Atrial Myxoma
    Left 1st or 2nd IC space Midclav line

    Patent Ductus Arteriosis


    A V Fistula

    Continuous

    Entire Cardiac Cycle

    Aorto-pulmonary Fistula
    Venous Hum in Children

    Bell (Low pitched)

    Diaphragm (High pitched

    Mitral stenosis

    Aortic regurg

    Austin Flint

    Mitral valve prolapse

    Tricuspid stenosis

    Pulmonary regurg

    Decreased by occluding vein or by


    lying child flat

    Remember R.I.L.E

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