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17 Possible Causes for Heart Murmur increased with Valsalva

  • Hypertrophic Cardiomyopathy

    , but how about this heart that increases with valsalva?[khanacademy.org] […] 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[khanacademy.org] , 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[khanacademy.org]

  • 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[…][ncbi.nlm.nih.gov]

  • 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[usmleforum.com] 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.[usmleforum.com]

  • Pulmonary Valve Insufficiency

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

  • 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]

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

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

  • Valsalva Maneuver

    Valsalva increases murmurs in hypertrophic cardiomyopathy and mitral valve prolapse and decreases them in atrial septal defects and aortic stenosis [1] .[ehealthstar.com] […] abnormalities, especially when used in conjunction with echocardiogram . [12] For example, the Valsalva maneuver (phase II) increases the intensity of hypertrophic cardiomyopathy[en.wikipedia.org] 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[e-ultrasonography.org]

  • 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]

  • 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[quizlet.com] […] failure: peripheral edema, pulm edema, weight gain, JVD, DOE, enlarged heart, gallop, cardiomegaly, fatigue extra clinical manifestations of hypertrophic cardiomyopathy -[quizlet.com] […] metastasis, radiation) -previous CHF or myocardial injury, med hx, drugs use (cocaine, sympathomimetics, amphetamines, alcohol consumption) -genetics, familial -congestive heart[quizlet.com]

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