PDF-(BOOS)-Heart Sounds and Murmurs: A Practical Guide

A practical clinical reference which defines the concepts needed by the practitioner learning or reviewing cardiac auscultation Erickson explains how to identify and interpret normal and common abnormal heart sounds. Index Introduction 1 Benign versus pathological murmurs 5 Murmurs categorized by time in cardiac cycle 7 Investigations 11 Introduction What is a murmur? A murmur is a sound generated when blood trave . Carrie Phillipi MD, PhD. Prevalence of Congenital Heart Disease (CHD). . <1 per 100 live births. Most cardiac murmurs are benign!. Risk Factors for CHD. . (when is CHD more likely). Family history of CHD . INTRODUCTION. Heart sounds are sounds produced by the mechanical activities of the heart during each cardiac cycle. They are due to movements of. Blood flow through the chambers of the heart. Cardiac muscle. Lida. . and Justin. 9/9/15. High Yield Cards. Murmurs. Stress. Rhythm. Pericarditis. tPA. Preop. Rhythm. Pericarditis. Heart Failure. Valve Disease. Digoxin. Syncope. A 23 year old patient with a history of HOCM who presents to your office for a routine physical. On exam, what characteristics would you expect his murmur to have?. in . Biosignal. Processing Module. Centre for Doctoral Training in Healthcare Innovation. . 11/18 May 2012. Institute of Biomedical Engineering. Department of Engineering Science. University of Oxford. Lab . 3. Abnormal Heart Sound. Daryl P. Lofaso, . M.Ed. , RRT. Heart Sound Locations. Heart Sounds. S. 1. : . “. lub. ”. occurs at the beginning of systole (mitral and tricuspid close). S. 2. : . Listening to the change in character,. . behaviour. and the intensity of the . heart sounds and murmurs to . physiological and pharmacological . maneuvers…….. “AUSCULTATE WITH ALTERED HEMODYNAMICS”. Daryl P. Lofaso, . M.Ed. , RRT. Heart Sound Locations. Heart Sounds. S. 1. : . “. lub. ”. occurs at the beginning of systole (mitral and tricuspid close). S. 2. : . “. dub. ”. marks the start of diastole, . History. The most common and most important cardiac symptoms and history are:. Chest pain, tightness or discomfort.. Shortness of breath.. Palpitations.. Syncope ('blackouts', 'faints', 'collapse') or dizziness.. best heard at the lower left . sternal. border in younger individuals. Normal splitting of S1 is accentuated. with complete right bundle branch block (RBBB). S1 intensity increases in the early stages of rheumatic. Assessment of murmurs in variousASYMPTOMATICpatient populations: P a tient Possible differentials Recommended diagnostics Puppy or kitten with a soft systolic murmur Innocent flow murmur These mur 09 Wherecome rst A signicant number of children who visit the Cardiology Department of TheMontreal Children’s Hospital of the McGill University Health Centre have heart murmurs. Ho  The production of murmurs is due to 3 main factors:  high blood flow rate through normal or abnormal orifices  forward flow through a narrowed or irregular orifice into a dilated vessel Clarke Atkins, DVM, Diplomate, ACVIM (Internal Medicine and Cardiology) Jane Lewis Seaks Distinguished Professor Emeritus North Carolina State University, College of Veterinary Medicine Heart sounds a