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30 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]

  • Mitral Valve Insufficiency

    Surgical treatment of mitral valve insufficiency by valve repair Plastia valvar no tratamento cirúrgico da insuficiência mitral Henrique Murad; Eliane Carvalho Gomes; Adriana Alves Pinheiro; José Augusto de Azevedo; Mauro Paes Leme de Sá; André Prado Noronha; Eduardo Sergio Bastos; Rubens Giambroni Filho Address[…][scielo.br]

  • Aortic Valve Insufficiency

    Background Aortic regurgitation (AR) is the diastolic flow of blood from the aorta into the left ventricle (LV). Regurgitation is due to incompetence of the aortic valve or any disturbance of the valvular apparatus (eg, leaflets, annulus of the aorta) resulting in the diastolic flow of blood into the left ventricular[…][emedicine.medscape.com]

  • 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]

  • Tricuspid Valve Insufficiency

    Tricuspid valve insufficiency, or tricuspid regurgitation, is a condition that involves a jet of blood pathologically leaking backward from the right ventricle into the right atrium during the systolic phase of the cardiac cycle. Tricuspid valve insufficiency is widely classified into two categories: the primary type,[…][symptoma.com]

  • Mitral Valve Stenosis

    Mitral stenosis is a valvular heart disease characterized by the narrowing of the orifice of the mitral valve of the heart. Signs and symptoms of mitral stenosis include the following: Heart failure symptoms, such as dyspnea on exertion, orthopnea and paroxysmal nocturnal dyspnea (PND) Palpitations Chest pain[…][en.wikipedia.org]

  • Pulmonary Valve Stenosis

    The rare congenital anomaly of pulmonary valve stenosis and massive tricuspid valve insufficiency with intact ventricular septum is a lethal condition without reported survival after attempted treatment. In a neonate suffering from this syndrome, the pulmonary valve stenosis was relieved by rupturing the fused[…][ncbi.nlm.nih.gov]

  • 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]

  • Aortic Stenosis with Bicuspid Valve

    […] heard best at heart base may have ejection click radiates to carotid arteries crescendo-decrescendo murmur decreases with standing, Valsalva, or handgrip increases with amyl[medbullets.com] […] nitrate, squat, or leg raise S4 heart sound from stiff or hypertrophic ventricle paradoxical splitting of S2 heard on expiration rather than inspiration pulsus parvus et[medbullets.com] […] most patients require aortic valve replacement Presentation Symptoms heart failure SAD S yncope A ngina or chest pain (most common) D yspnea Physical exam systolic ejection murmur[medbullets.com]

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