Auscultation and Murmurs

Up
Standard Echo Interpretation
Auscultation and Murmurs

Home Up Standard Echo Interpretation Auscultation and Murmurs

 

Characteristics of Selected Systolic Murmurs

  Aortic Stenosis Mitral Regurgitation IHSS Atrial Septal Defect Innocent Murmur
Location URSB Apex Mid LSB Upper LSB Mid LSB
Radiation Clavicle; Neck; Apex Axilla Apex; URSB Lower LSB Limited
Configuration Crescendo - Decrescendo Holosystolic
Variable		 Decrescendo Crescendo - Decrescendo Crescendo - Decrescendo
Quality Harsh Blowing Harsh
High		 Coarse Coarse
Musical
Maneuvers No effect > Standing
 < Squatting		  > Standing
 < Squatting
 > Valsalva		 Inspiration:  No
Effect on S2		 < Standing
< Inspiration
Ancillary Findings Ejection Sound Click(s) Rapid Carotid Upstroke None Young
AR
ABN Carotid S3 S4 Pregnant
Severe Slow Carotid Upstroke Rapid Carotid Upstroke Grade 4 - 6/6 Diastolic Rumble N/A
Long Murmur S3
Grade 4 - 6/6 Flow Rumble Palpable PA

For more information contact:  Samuel Stoughton, RDCS, FASE at samuel@atlantaecho.org