PPT-Heart Murmur

By Tommy Vandoros What is A Heart Murmur A heart murmur is when there is blood swishing between valves Example blood swishing between two valves through a hole in the septum. Timing Timing Lesion Maneuvours to accentuate murmur Aortic area, clavicles & carotids, also apex Aortic Stenosis Squatting. Leg raise. Sitting in full Exp Pulmonary Stenosis Mid systolic (Ejection) . 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 . Lydia Burland. By the end of the session you should;. Recognise common heart murmurs present in childhood. Be able to list the risk factors for cardiac disease in childhood. Be able to define innocent murmurs and explain to parents. Dr. Snehal Kulkarni. Division of Pediatric Cardiology. Kokilaben. . Ambani. Hospital, Mumbai. Aortic valve stenosis. Morphologically diverse condition. Varies in severity. Asymptomatic to critically ill. Murmur-Fest.  How can music help us to express gratitude to the Lord?.  What are some other ways we could appropriately express our gratitude to the Lord?.  What can we learn from the response of the children of Israel to being delivered?. mechanism . Dr. Shreetal Rajan Nair. The original description . In . 1862. , AUSTIN FLINT described an apical . presystolic. murmur in two patients with "considerable" aortic regurgitation who had no evidence of organic mitral . Play the game!. How do you do a cardiovascular examination?. Case 1. Examination. Mild SOB at rest. HR 65 regular. BP 150/90. Added third HS. Bibasal. course crackles. Pitting oedema to mid-shins. Differential. 13 year old NM Bichon . Frise. History: Known 5/6 systolic murmur and CHF diagnosed 8 months ago. Boca was on furosemide, benazepril, and pimobendane, as well as HW preventative. . Presentation: Boca had a slow loss of appetite over one week. He vomited the previous night, urinated in bed, and collapsed the morning of presentation. He was weak and unsteady. . 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. 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 History: chest pain (usually indicated ischemia/myocardial infarction). Location: usually in the front of the chest (retrosternal) but can also be in the upper abdomen, neck, jaw, left arm or left shoulder.. Different presentations of CHD in the neonate. Asymptomatic Murmur. Cyanosis. Gradually progressive symptoms of heart failure. Catastrophic heart failure and shock. Fetal Physiology. Asymptomatic New Born with a Murmur. disease . BY MBBSPPT.COM. CAUSES OF CENTRAL CYANAOSIS. . Congenital Heart . Disease.   .  .  . 1. ) Cyanosis with . PBF 2. ) Cyanosis with . PBF. . . a. )      TOF .