Ejection Murmur: Causes & Reasons

Possible Causes for Ejection Murmur

[…] anteroposterior chest dimension, resulting compression of the heart between spine and sternum, and consequent prominent precordial pulsations, an ejection murmur, and radiologic [medical-dictionary.thefreedictionary.com]

An asymptomatic 45-year-old man was referred to our hospital for detailed evaluation of a systolic ejection murmur. [ncbi.nlm.nih.gov]

A 23-year-old asymptomatic woman was referred to our hospital for further examination of a systolic ejection murmur with fixed splitting of the second heart sound auscultated [ncbi.nlm.nih.gov]

Hypertrophic Cardiomyopathy

murmur, and a low-pitched early diastolic murmur immediately after S2 at the apex. [ncbi.nlm.nih.gov]

Ejection murmur that increases with Valsalva with or without concomitant mitral regurgitation murmur and preserved aortic second sound. [accessmedicine.mhmedical.com]

In patients with the obstructive form of hypertrophic cardiomyopathy, a systolic ejection-type murmur can be heard that does not radiate to the neck. [merckmanuals.com]

Aortic Valve Stenosis

A crescendo-decrescendo ejection murmur is characteristic. Diagnosis is by physical examination and echocardiography. [merckmanuals.com]

Valsalva and standing from squatting decreases or does not change the intensity of the murmur (in contrast to hypertrophic cardiomyopathy). [amboss.com]

The hallmark finding is a crescendo-decrescendo ejection murmur, heard best with the diaphragm of the stethoscope at the right and left upper sternal border when a patient [merckmanuals.com]

Tricuspid Valve Insufficiency

Regurgitation results in turbulence and the generation of characteristic heart murmurs. [cvphysiology.com]

Aortic regurgitation occurs when the aortic valve fails to close completely and blood flows back from the aorta (Ao) into the left ventricle after ejection into the aorta [cvphysiology.com]

Iron Deficiency Anemia

Abstract Our aim was to evaluate the cut-off value and efficiency of using reticulocyte hemoglobin content as a marker to diagnose iron deficiency anemia in Chinese adults. 140 adults who needed bone marrow aspiration for diagnosis at the hematology department of the Peking Union Medical College Hospital were[…] [ncbi.nlm.nih.gov]

Ostium Secundum Atrial Septal Defect

Auscultation of the heart sounds: a systolic ejection murmur, respiratory variations in the splitting of the second heart sound; in the ECG: presence of incomplete right bundle [panafrican-med-journal.com]

Murmurs • Pulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur [slideshare.net]

Heart sounds Normal 1st heart sound (HS), wide fixed splitting 2nd HS; a systolic ejection murmur, heard in the 2nd intercostal space (IC), peaking in midsystole and ending [medical-dictionary.thefreedictionary.com]

Atrioventricular Septal Defect

Disorder of Iron Metabolism

Abstract Background: Dietary iron overload found in sub‐Saharan Africa might be caused by an interaction between dietary iron and an iron‐loading gene. Caucasian people with ferroportin gene mutations have iron overload histologically similar to that found in African patients with iron overload. Ferroportin is also[…] [doi.org]

Rheumatic Aortic Valve Obstruction

Aortic Stenosis Murmur (Crescendo-Decrescendo Ejection Murmur) Recording provided by Jules Constant, MD. [merckmanuals.com]

Physical examination Systolic ejection murmur radiating to the neck. [medical-dictionary.thefreedictionary.com]

Finally, you get a systolic ejection murmur on auscultation, and this systolic ejection murmur is best heard in the aortic area, or the right upper sternal border, and that [khanacademy.org]

Congenital Pulmonary Valve Stenosis

Signs include a crescendo-decrescendo ejection murmur. Diagnosis is by echocardiography. [merckmanuals.com]

In each of 16 patients studied, a pulmonary ejection murmur was present, but this was not associated with an ejection click. [circ.ahajournals.org]

A harsh crescendo-decrescendo ejection murmur is audible and is heard best at the left parasternal 2nd (valvular stenosis) or 4th (infundibular stenosis) intercostal space [merckmanuals.com]

Pulmonary Branch Stenosis

murmur in infants. [pedclerk.bsd.uchicago.edu]

A systolic ejection murmur of Grade 3/6 intensity was audible in left second intercostal space. [jcecho.org]

There is an ejection murmur of varying intensity and duration heard best in the pulmonary area. Adult. [fqz301.brinkster.net]

Acyanotic Congenital Heart Disease

Fixed split S2 systolic ejection murmur, esp in mid and upper left sternal borders increased RV impulse can cause pulm htn, right heart failure What determines the severity [brainscape.com]

Child with murmur Male/female ratio of 2 : 1 2–3/6 SEM at LUSB, radiating to left interscapular area Bicuspid valve is often associated, so may have systolic ejection click [unboundmedicine.com]

Primum defect - more inferior Secundum defect - more superior Sinus venosus defect - on the side Heart sound abnormalities associated with ASD Soft systolic ejection murmur [quizlet.com]

Discrete Fibromuscular Subaortic Stenosis

She had an ejection murmur at the left sternal border. A chest radiograph showed cardiomegaly and the ECG showed left ventricular hypertrophy with a strain pattern. [heart.bmj.com]

Diagnosis Diagnostic evaluation is performed in children with a characteristic systolic ejection murmur. [mhmedical.com]

Supravalvular Aortic Stenosis

murmur and no diastolic murmur. [ctsnet.org]

Clinical findings included an aortic systolic ejection murmur, absence of an FULL TEXT [annals.org]

Operative Steps Figure 1 An asymptomatic, 5-year-old, 18-kg boy known by genetic testing to have Williams syndrome on physical examination had a IV/VI harsh systolic ejection [ctsnet.org]

Right Ventricular Outflow Obstruction

A loud ejection murmur was heard in the mid-precordium. [ncbi.nlm.nih.gov]

On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area. [heart.bmj.com]

Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block. [onlinejacc.org]

Congenital Aortic Insufficiency

In more severe stages, possibly a harsh, crescendo-decrescendo mid- systolic murm u r that resembles the ejection murmur heard in aortic stenosis Screening tests (optional [amboss.com]

In the setting of severe AR, a systolic ejection murmur may be noted due to increased ejection volumes. [thecardiologyadvisor.com]

In addition to the above murmur, a systolic ejection murmur may be present at the right upper sternal border, simply due to the large stroke volume passing through the aortic [healio.com]

Persistent Truncus Arteriosus

murmur audible along the left sternal border (see table Heart Murmur Intensity ). [merck.com]

murmur is heard at the left sternal border Widened pulse pressure Bounding arterial pulses Loud second heart sound Biventricular hypertrophy Cardiomegaly Increased pulmonary [ipfs.io]

The baby will display cyanosis present at birth along with a characteristic systolic ejection murmur heard at the left sternal border, and lung congestion, due to increased [codeitrightonline.com]

Acute Aortic Regurgitation

Physical finding: soft S1, Aortic Ejection murmur, loud S3, single S2. Rheumatic heart dx, what causes it? Group A βhemolytic strep, ie Strep pyogenes. [quizlet.com]

In more severe stages, possibly a harsh, crescendo-decrescendo mid- systolic murm u r that resembles the ejection murmur heard in aortic stenosis Screening tests (optional [amboss.com]

Other abnormal sounds include a forward ejection and backward regurgitant flow (to-and-fro) murmur, an ejection click soon after the S 1, and an aortic ejection flow murmur [merckmanuals.com]

Ostium Primum Atrial Septal Defect

Cardiac exam: S1 is normal or split, S2 is widely split & fixed, midsystolic pulm. ejection murmur, middiastolic rumbling murmur, loudest at the 4th intercostal space along [enotes.tripod.com]

Chest auscultation classically reveals an ejection systolic murmur heard at the left upper sternal border, attributed to increased flow across the pulmonary valve rather than [radiopaedia.org]

Aortic Stenosis with Bicuspid Valve

murmur heard best at heart base may have ejection click radiates to carotid arteries crescendo-decrescendo murmur decreases with standing, Valsalva, or handgrip increases [medbullets.com]

On clinical examination the patient had severe aortic stenosis with a slow rising pulse, narrow pulse pressure, and an ejection systolic murmur radiating to the carotids. [bmj.com]

[…] click is beyond the skill of most non-specialists, but often an ejection systolic murmur is present and easily heard. [ncbi.nlm.nih.gov]

Branch Pulmonary Artery Stenosis

murmur in infants. [pedclerk.bsd.uchicago.edu]

A systolic ejection murmur of Grade 3/6 intensity was audible in left second intercostal space. [jcecho.org]

Turbulence occurring at the region of the stenosis creates an ejection quality murmur. [pedsinreview.aappublications.org]

Congenital Aortic Valve Stenosis

In older children, the clinical diagnosis is easier to establish and is based on findings like a harsh systolic crescendo-descrescendo ejection murmur that peaks in mid-systole [symptoma.com]

murmur that radiates bilaterally to the carotids Best heard in the 2nd right intercostal space Hand grip decreases the intensity of the murmur. [amboss.com]

However, murmurs due to regurgitation are holosystolic, in contrast to the basilar ejection-type murmur characteristic of aortic stenosis. [clinicaladvisor.com]

Congenital Pericardium Anomaly

Basal ejection murmurs, apical midsystolic clicks and murmurs may also be found. [ispub.com]

The physical examination is usually non-specific but may reveal a significantly displaced apical impulse, basal ejection murmurs, apical midsystolic clicks and increased splitting [wjgnet.com]

murmurs, apical mid‐systolic clicks and increased splitting of the second heart sound due to right bundle branch block. 3,10,8,11,12 The ECG may be normal in small or partial [revportcardiol.org]

Cor Triloculare Biventriculare

murmur. [imsear.searo.who.int]

[…] pregnancy is challenging as physiological changes during pregnancy can cause signs and symptoms mimicking cardiac disease, e.g., fatigue, shortness of breath, edema and systolic ejection [imsear.searo.who.int]

Atrial Septal Defect 9

murmur at the left sternal border, more evident in the third and fourth left intercostal space, which extended to the midaxillary line. [minervamedica.it]

Typical clinical findings consisted of loud first heart sound, widely fixed split second heart sound and soft ejection systolic murmur at the upper left sternal border were [paediatricaindonesiana.org]

Pulmonary Valve Stenosis

Signs include a crescendo-decrescendo ejection murmur. Diagnosis is by echocardiography. [msdmanuals.com]

Common findings are widening of the second heart sound (S2), the presence of a fourth heart sound (S4), a harsh mid-systolic ejection murmur (also known as crescendo-decrescendo [symptoma.com]

Widened 2nd heart sound (S2) and delayed pulmonic component of S2 (P2) Harsh crescendo-decrescendo ejection murmur On auscultation, the 1st heart sound (S1) is normal and [msdmanuals.com]

Left-to-Right Cardiac Shunt

Auscultation Systolic ejection murmur over the left second ICS sternal border Widely split second heart sound (S 2 ) over the left second ICS ;, which is fi xed (does not [amboss.com]

Her physical exam revealed a V/VI holosystolic ejection murmur heard over the entire sternal border and diffuse crackles. [ctsnet.org]

murmur right to left shunt, cyanotic, 4 defects, large VSD high in the septum, overriding aorta that straddles the aorta, pulmonary stenosis, and RV hypertrophy When does [quizlet.com]

Pulmonary Artery Stenosis

Signs include a crescendo-decrescendo ejection murmur. Diagnosis is by echocardiography. [merckmanuals.com]

murmur in infants. [pedclerk.bsd.uchicago.edu]

• Pulmonic stenosis without VSD= 8% of all CHD • Mostly asymptomatic • When symptomatic, cyanosis and heart failure • Loud systolic ejection murmur • Cor pulmonale • Rare [learningradiology.com]

Anomalies of Great Veins, Congenital

A pansystolic murmur of tricuspid insufficiency or an ejection murmur of PS may be heard. [hawaii.edu]

murmur audible along the left sternal border (see table Heart Murmur Intensity ). [merckmanuals.com]

There may be a systolic ejection murmur at the second or third right intercostal space with radiation to the apex and neck. [ahcmedia.com]

Trilogy of Fallot

Systolic thrill and murmur are maximal in third or fourth left parasternal area. 2. Systolic murmur is long, and is not preceded by any ejection click. 3. [medvin2u.net]

murmur. [msdmanuals.com]

An ejection systolic murmur was heard, loudest along the left sternal border in the 3 rd and 4 th ICS, Grade IV in intensity and radiating to the back. [j-pcs.org]