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MURMUR TIMING - Coggle Diagram
MURMUR TIMING
SYSTOLIC
RSE
AORTIC STENOSIS
- crescendo-decrescendo
- radiates to carotids
LSE
EJECTION
PULMONARY STENOSIS
- crescendo-decrescendo
- increases with inspiration
HOCM
- louder w/ maneuvers to ↑ preload
- e.g. valsalva, standing
-
ASD
- fixed, wide splitting of S2 heart sounds
- increased flow over P valve
HOLOSYSTOLIC
VSD
- often loud
- may have thrill
-
-
-
ToGA
- location + type dependent on presence of associated shunys
APEX
MITRAL REGURG
- holosystolic
- radiates to axilla
MVP
- mid-to-late systolic
- preceded by nonejection click
DIASTOLIC
LSE
AORTIC REGURG
- high, pitched decrescendo murmur
APEX
MITRAL STENOSIS
- low pitched diastolic rumble
- preceded by opening snap
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