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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]
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.
Associated with aortic valve regurgitation (or mitral regurgitation before rupture of chordae). It is a diastolic murmur heard over the mid-precordium. [16] Continuous and Combined Systolic/Diastolic. Patent ductus arteriosus may present as a continuous murmur radiating to the back. Severe coarctation of the aorta can present with a continuous ...
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Patent ductus arteriosus (PDA) is an abnormal connection between the aorta and the pulmonary artery, which normally should be closed in infancy. Since aortic pressure is higher than pulmonary pressure, a continuous murmur occurs. This murmur is often described as a machinery murmur, or Gibson's murmur. [2]
The differential diagnoses of Kussmaul's sign includes constrictive pericarditis, restrictive cardiomyopathy, pericardial effusion, and severe right-sided heart failure. [citation needed]
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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 heart murmur intensity.