Create issue ticket

15 Possible Causes for Heart Murmur increased with Valsalva

  • Hypertrophic Cardiomyopathy

    , but how about this heart that increases with valsalva?[khanacademy.org] Due to increased atrial pressure occasionally a fourth heart sound can be heard.[doi.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]

  • Mitral Valve Prolapse

    A 45-year-old female with Marfan syndrome had a Bentall's procedure performed 19 years ago. She presented with a 4-year history of gradually worsening dyspnea and decreasing exercise tolerance. Investigations revealed severe mitral valve prolapse, a left main stem coronary artery (LMSCA) aneurysm, and a[…][ncbi.nlm.nih.gov]

  • 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]

  • 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]

  • 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]

  • 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]

  • Supravalvular Aortic Stenosis

    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]

  • S3 Gallop

    , and tricuspid stenosis Release of Valsalva maneuver Increases volume of RV and LV Augments murmurs of aortic stenosis, aortic regurgitation (after 4 or 5 beats), and pulmonic[merckmanuals.com] […] and subsequently to the left heart Augments murmur of hypertrophic obstructive cardiomyopathy and mitral valve prolapse Reduces murmurs of aortic stenosis, mitral regurgitation[merckmanuals.com] […] stenosis* [immediately] and regurgitation [usually]) Reduces left heart sounds Valsalva maneuver Reduces size of left ventricle (LV); decreases venous return to the right heart[merckmanuals.com]

  • Heart Murmur

    . specifically positive Carvallo's sign describes the increase in intensity of a tricuspid regurgitation murmur with inspiration.[en.wikipedia.org] This maneuver will increase the murmur of HOCM and decrease that of aortic stenosis. This maneuver causes the click of MVP to move earlier in systole.[healio.com] Handgrip maneuver, by increasing afterload Valsalva maneuver.[en.wikipedia.org]

Further symptoms