Professional Documents
Culture Documents
Classifications of Heart Murmurs
Classifications of Heart Murmurs
S1
S2
Pulmonary stenosis
Midsystolic
Crescendo-decrescendo, continuous
S1
S2
Mitral regurgitation
Systole
Apex
S1 S2
Holosystolic, continuous
Tricuspid regurgitation
Systole
Holosystolic, continuous
Mitral stenosis
Diastole
Apical
S2 S1
Tricuspid stenosis
Diastole
Lower LSB
S2 S1
Systole
Holosystolic, continuous
Aortic regurgitation
Diastole (early)
Decrescendo, continuous
Pulmonic regurgitation
Diastole (early)
Decrescendo, continuous
Table 17.4
MURMUR Aortic stenosis
Pulmonary stenosis Mitral regurgitation Tricuspid regurgitation Mitral stenosis Tricuspid stenosis Ventricular septal defect (left-to-right shunt) Aortic regurgitation
Usually harsh Blowing and can be harsh in sound quality Blowing Rumbling Rumbling Harsh Blowing
Medium High High Low and best heard with bell Low High High, best auscultated with diaphragm unless client is sitting up and leaning forward High, best auscultated with diaphragm
Pulmonic regurgitation
Blowing