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Heart sounds of a healthy human female with a functional or "innocent" heart murmur after exercise. A functional murmur (innocent murmur, physiologic murmur) is a heart murmur that is primarily due to physiologic conditions outside the heart, as opposed to structural defects in the heart itself. [1]
Heart murmurs are unique heart sounds produced when blood flows across a heart valve or blood vessel. [1] This occurs when turbulent blood flow creates a sound loud enough to hear with a stethoscope. [2] The sound differs from normal heart sounds by their characteristics. For example, heart murmurs may have a distinct pitch, duration and timing.
Bradycardia, also called bradyarrhythmia, is a resting heart rate under 60 beats per minute (BPM). [1] While bradycardia can result from various pathologic processes, it is commonly a physiologic response to cardiovascular conditioning or due to asymptomatic type 1 atrioventricular block.
Still's murmur is detected via auscultation with a stethoscope.It has a peculiar "musical", "resonant" or "vibratory" quality that is quite unique. [1] [2] It is generally most easily heard at the left middle or lower sternal border and the right upper sternal border, often with radiation to the carotid arteries, although other locations are common.
However, if a heart murmur or abnormal ECG is found, it can provide important clues, and as such a thorough physical exam and ECG are essential. [ 1 ] [ 2 ] The physical exam should include checking vital signs and a position based blood pressure measurement, listening to the heart and lungs and examining the arms and legs.
Heart murmurs are most frequently organized by timing, into systolic heart murmurs and diastolic heart murmurs. However, continuous murmurs can not be directly placed into either category. [1] These murmurs are due to blood flow from a high pressure chamber or vessel to a lower pressure system. Patent ductus arteriosus. Patent ductus arteriosus ...
In contrast to most other heart murmurs, the murmur of mitral valve prolapse is accentuated by standing and Valsalva maneuver (earlier systolic click and longer murmur) and diminished with squatting (later systolic click and shorter murmur). The only other heart murmur that follows this pattern is the murmur of hypertrophic cardiomyopathy. An ...
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