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27 Possible Causes for Heart Murmur Decreased with Valsalva

  • Aortic Valve Stenosis

    The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[healio.com] The murmur of hypertrophic cardiomyopathy can also at times mimic the murmur of aortic stenosis.[healio.com] The S2 heart sound is often paradoxically split in patients with aortic stenosis, though the splitting disappears on inspiration.[healio.com]

  • Innocent Cardiac Murmurs

    Maneuvers with auscultation Supine, sitting and standing: Increase pre-load in supine.........exaggerating flow murmurs Valsalva maneuver: Increase intensity of MVP Decrease[pedcard.rush.edu] Changing the flow by changing the patient's position (for example, decreasing flow to the heart with the Valsalva maneuver) will change the intensity of the murmur.[aafp.org] Valsalva maneuver This maneuver has different phases; however, the straining phase of the valsalva is the best for analyzing murmurs.[learn.pediatrics.ubc.ca]

  • Congenital Aortic Valve Stenosis

    The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[healio.com] The murmur of hypertrophic cardiomyopathy can also at times mimic the murmur of aortic stenosis.[healio.com] The S2 heart sound is often paradoxically split in patients with aortic stenosis, though the splitting disappears on inspiration.[healio.com]

  • Rheumatic Aortic Valve Obstruction

    The Valsalva maneuver decreases the aortic stenosis murmur while it increases the hypertrophic cardiomyopathy murmur.[healio.com] Typical heart sounds are a crescendo-decrescendo ejection murmur that increases with maneuvers that increase LV volume and contractility (eg, leg-raising, squatting, Valsalva[merckmanuals.com] The murmur of hypertrophic cardiomyopathy can also at times mimic the murmur of aortic stenosis.[healio.com]

  • Pulmonary Valve Stenosis

    A neonate is described whose clinical condition rapidly and irreversibly deteriorated on day two. He developed a profound acidosis, hypoglycaemia and a shock-like syndrome. The infant was centrally cyanosed and had a systolic murmur from a moderately severe pulmonary valve stenosis and a small atrial septal defect.[…][ncbi.nlm.nih.gov]

  • Mitral Valve Stenosis

    A case of end-stage mitral stenosis is presented. Because of too high an operative risk surgical treatment was not advisable. Using an original technique, we performed the percutaneous transarterial balloon mitral valvotomy. The mitral diastolic pressure gradient was reduced after dilatation and there was no[…][ncbi.nlm.nih.gov]

  • Tricuspid Valve Insufficiency

    Elevated pulmonary artery systolic pressure (PASP) causes functional tricuspid valve insufficiency (TI). However, the differential contribution of pressure load and right ventricular (RV) dilatation is not well established. The study aim was to evaluate both variables in relation to TI. A cross-sectional study was[…][ncbi.nlm.nih.gov]

  • Mitral Valve Insufficiency

    History Acute mitral regurgitation When associated with coronary artery disease and acute myocardial infarction (typically, inferior myocardial infarction, which may lead to papillary muscle dysfunction), significant acute mitral regurgitation (MR) is accompanied by symptoms of impaired LV function, such as dyspnea,[…][emedicine.medscape.com]

  • Aortic Valve Insufficiency

    Overview Aortic valve regurgitation — or aortic regurgitation — is a condition that occurs when your heart's aortic valve doesn't close tightly. Aortic valve regurgitation allows some of the blood that was pumped out of your heart's main pumping chamber (left ventricle) to leak back into it. The leakage may prevent[…][mayoclinic.org]

  • Mitral Papillary Muscle Rupture

    On auscultation of the heart, an early, decrescendo, systolic murmur at the cardiac apex is heard; the murmur decreases with Valsalva maneuver, and increases with the grip[usmleforum.com] His pathologic murmur (systolic murmur that is heard in the apex, radiates to the axilla, increases with the grip maneuver, and decreases with Valsalva) is characteristic[usmleforum.com] Acute mitral regurgitation is usually characterized by a soft, decrescendo systolic murmur (can be early, midsystolic or holosystolic), a decreased first heart sound, and[usmleforum.com]

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