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  2. Systolic heart murmur - Wikipedia

    en.wikipedia.org/wiki/Systolic_heart_murmur

    Left ventricular function can be assessed by determining the apical impulse. A normal or hyperdynamic apical impulse suggests good ejection fraction and primary MR. A displaced and sustained apical impulse suggests decreased ejection fraction and chronic and severe MR. This type of murmur is known as the Castex Murmur. Holosystolic (pansystolic)

  3. Heart murmur - Wikipedia

    en.wikipedia.org/wiki/Heart_murmur

    Signs of infants associated with serious cases of PDA are poor feeding, failure to thrive and respiratory distress. Other examination findings may include widened pulse pressures and bounding pulses. A machinery murmur is also known as a Gibson murmur. [20] Systolic murmur loudest below the left scapula Classic for a coarctation of the aorta.

  4. Mitral regurgitation - Wikipedia

    en.wikipedia.org/wiki/Mitral_regurgitation

    Mitral regurgitation, also known as mitral insufficiency or mitral incompetence, is the backward flow of blood from the left ventricle, through the mitral valve, and into the left atrium, when the left ventricle contracts, resulting in a systolic murmur radiating to the left armpit. [5] [3]

  5. Levine scale - Wikipedia

    en.wikipedia.org/wiki/Levine_scale

    A loud murmur with a thrill. A loud murmur with a thrill. The murmur is so loud that it is audible with only the rim of the stethoscope touching the chest. A loud murmur with a thrill. The murmur is audible with the stethoscope not touching the chest but lifted just off it. The Levine scaling system persists as the gold standard for grading ...

  6. Gallavardin phenomenon - Wikipedia

    en.wikipedia.org/wiki/Gallavardin_phenomenon

    The presence of a murmur at the apex can be misinterpreted as mitral regurgitation. However, the apical murmur of the Gallavardin phenomenon does not radiate to the left axilla and is accentuated by a slowing of the heart rate (such as a compensatory pause after a premature beat) whereas the mitral regurgitation murmur does not change. [2]

  7. Aortic stenosis - Wikipedia

    en.wikipedia.org/wiki/Aortic_stenosis

    The type of hypertrophy most commonly seen in AS is known as concentric hypertrophy, [4] in which the walls of the LV are (approximately) equally thickened. In the later stages, the left ventricle dilates, the wall thins, and the systolic function deteriorates (resulting in impaired ability to pump blood forward).

  8. Mitral valve prolapse - Wikipedia

    en.wikipedia.org/wiki/Mitral_valve_prolapse

    A murmur that lasts throughout the whole of systole is known as a holo-systolic murmur. A murmur that is mid to late systolic, although typically associated with less regurgitation, can still be associated with significant hemodynamic consequences. [10] In contrast to most other heart murmurs, the murmur of mitral valve prolapse is accentuated ...

  9. Cardiac examination - Wikipedia

    en.wikipedia.org/wiki/Cardiac_examination

    If S4 S1 S2 S3 Also known as a gallop rhythm. diastolic murmurs (e.g. aortic regurgitation, mitral stenosis) systolic murmurs (e.g. aortic stenosis, mitral regurgitation) pericardial rub (suggestive of pericarditis) The base of the lungs should be auscultated for signs of pulmonary oedema due to a cardiac cause such as bilateral basal crepitations.