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17 Possible Causes for Heart Murmur increased with Valsalva

  • Hypertrophic Cardiomyopathy

    , but how about this heart that increases with valsalva?[] […] with a stethoscope, and a child with hypertrophic cardiomyopathy has a very characteristic heart murmur that's known as a systolic ejection murmur that increases with valsalva[] , you get a turbulent blood flow going out of the left ventricle, and that turbulent blood flow can be heard with a stethoscope, and this is known as a systolic ejection murmur[]

  • Mitral Valve Prolapse

    Mitral valve prolapse (MVP) is relatively common in the general population with recently reported prevalence of 1% and familial clustering (Framingham Heart Study). However, its association with ventricular arrhythmias and sudden cardiac arrest (SCA) remains controversial. The purpose of this study was to[…][]

  • Chordae Tendinae 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[] The first sound is barely audible; the second heart sound is normal. A fourth heart sound is also present. There are bilateral crackles in both lungs.[]

  • Pulmonary Valve Insufficiency

    The pulmonary insufficiency murmur is brief, early diastolic and decrescendo and increases with squatting and inspiration. Valsalva maneuver decreases its intensity.[] Physical examination reveals an accentuated and delayed pulmonary component of the second heart sound if pulmonary hypertension is present.[]

  • 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[] […] 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[] […] 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[]

  • 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[] (i.e., valsalva, standing) Second heart sound - intensity, splitting of 2nd heart sound ( physiologic splitting vs fixed splitting ) .[] A typical innocent heart murmur is vibratory (or musical) in quality. Harsh murmurs indicate pathology.[]

  • 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[] 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[] […] of mitral regurgitation, which may lead to acute heart failure.[]

  • Valsalva Maneuver

    Valsalva increases murmurs in hypertrophic cardiomyopathy and mitral valve prolapse and decreases them in atrial septal defects and aortic stenosis [1] .[] […] abnormalities, especially when used in conjunction with echocardiogram . [12] For example, the Valsalva maneuver (phase II) increases the intensity of hypertrophic cardiomyopathy[] The Valsalva maneuver consists of forceful expiration against a closed glottis, resulting in an increase in both intra-thoracic and intra-abdominal pressure, and activation[]

  • Aortic Valve Stenosis

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

  • Sarcoid Myocarditis

    murmur is increased with valsalva or standing bc of decreased preload -feel LV heave or lift -double apical impulse: forceful left atrial contraction against a highly noncompliant[] […] failure: peripheral edema, pulm edema, weight gain, JVD, DOE, enlarged heart, gallop, cardiomegaly, fatigue extra clinical manifestations of hypertrophic cardiomyopathy -[] […] metastasis, radiation) -previous CHF or myocardial injury, med hx, drugs use (cocaine, sympathomimetics, amphetamines, alcohol consumption) -genetics, familial -congestive heart[]

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