PDF-Heart murmurs

What is a heart murmurWhen a doctor listens to your heart he or she can hear the sounds made by the blood flowing through the heart and by the valves in your heart opening and closing These are no. 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 . 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?. 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. 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 PhD.. . Pediatric Cardiac Center in Bratislava. Propedeutics. Patophysiology. –. >. . turbulent. . blood. . flow. Characteristics. Systolic. /. diastolic. /. continuous. Punctum. maximum. Dr. Benny J. Panakkal. Senior Resident. Dept. of Cardiology. Govt. Medical College. Kozhikode. .. RESPIRATORY VARIATION. MULLER MANEUVER. VALSALVA MANEUVER. SUSTAINED HANDGRIP. POSTURAL CHANGES. POST – VPC / LONG DIASTOLE OF AF. Athletic Clearance. Del McOmber MD. Pediatric Heartcare Partners. 2-27-15. Cardiac physical examination can be amongst the most diagnostic if done correctly and carefully. Knowledge of cardiac physiology and auscultation techniques/maneuvers can often determine a diagnosis, or help to form a strong differential diagnosis.