Systolic Murmur: Causes & Reasons

Possible Causes for Systolic Murmur

An attenuation of systolic murmur also occurred. No aortic diastolic murmur was detected. [jpgmonline.com]

murmur and in asymptomatic patients with a grade 3/6 or louder systolic murmur. [aafp.org]

On clinical examination the patient had severe aortic stenosis with a slow rising pulse, narrow pulse pressure, and an ejection systolic murmur radiating to the carotids. [bmj.com]

Patent Ductus Arteriosus

[…] split) 8.  Dilatation of the ascending aorta  Aortic ejection click – preceeding the conti nuous murmur  Aortic ejection systolic murmur – drowned by the loud continuous [slideshare.net]

The murmur is usually recognized as systolic rather than continuous in the first weeks of life and can mimic a benign systolic murmur. [emedicine.medscape.com]

Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension [slideshare.net]

Mitral Valve Prolapse

The mid-systolic click also moves in tandem with the murmur. [easyauscultation.com]

On auscultation there may be a mid-systolic click and late systolic murmur. Reference: Criley et al. (1966). [gpnotebook.co.uk]

Late systolic murmurs and non-ejection (“mid-late”) systolic clicks. An analysis of 90 patients. Br Heart J. 1968;30:203–18. 17. [aafp.org]

Atrial Septal Defect

Murmurs • Pulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur [slideshare.net]

murmur but did not clearly show the presence of fixed splitting of S2. [ncbi.nlm.nih.gov]

There is further turbulent flow into the pulmonary artery causing the systolic murmur. [easyauscultation.com]

Mitral Valve Insufficiency

[…] in isolated MR, did not differ significantly between pan-systolic and late-systolic murmur groups. [ncbi.nlm.nih.gov]

Systolic Murmurs - Mitral Regurgitation You are listening to a typical example of a murmur caused by mitral valve regurgitation. [med.ucla.edu]

Blowing apical systolic murmur (Often holosystolic) Any movement of apical impulse in chronic mitral insufficiency? [quizlet.com]

Ostium Primum Atrial Septal Defect

Persistent apical systolic murmur suggestive of mitral regurgitation was heard in five patients (42%) after the operation. [ohsu.pure.elsevier.com]

Auscultation typically reveals a grade 2 to 3/6 midsystolic (or ejection systolic) murmur and a widely split, fixed S2 at the upper left sternal border in children. [babiesonline.co.za]

Hypertrophic Cardiomyopathy

Outflow tract obstruction may cause a systolic murmur at the left sternal edge, radiating to the aortic and mitral areas. [patient.info]

An early peaking, harsh diamond shaped systolic murmur starts at the beginning of systole and ends well before the second heart sound. [easyauscultation.com]

Examination Classic examination findings are a forceful apex beat, with double impulse if the left ventricular outflow tract is obstructed and a late ejection systolic murmur [patient.info]

Ventricular Septal Defect

There is a third heart sound followed by a short diamond shaped diastolic murmur. A medium pitched murmur fills all of systole. [easyauscultation.com]

An 32-months-old boy was admitted for a significant precordial systolic murmur. [ncbi.nlm.nih.gov]

Most VSDs can be noticed by systolic murmur even today. [ncbi.nlm.nih.gov]

Aortic Valve Stenosis

murmur and in asymptomatic patients with a grade 3/6 or louder systolic murmur. [aafp.org]

Both conditions are associated with an early, harsh systolic murmur that is transmitted to the carotids. [patient.info]

Reliable auscultatory indicators of the absence of aortic stenosis include a grade 1/6 or softer systolic murmur, absence of a radiating systolic murmur heard over the head [aafp.org]

Papillary Muscle Dysfunction

Patients with systolic murmur had higher hospital and 1-year mortalities than those without systolic murmurs (p less than 0.01). [ncbi.nlm.nih.gov]

Late systolic murmur Holosystolic with late systolic accentuation (severe LV dusfunction) Holosystolic murmur Decrescendo murmur What are the characteristic of murmur in papillay [notes.medicosnotes.com]

Auscultation and phonocardiograms revealed holosystolic murmurs in 9 cases and early systolic murmurs in 2. [ncbi.nlm.nih.gov]

Myxoid Transformation of the Mitral Valve

The prolapsed portion of the valve causes a clicking sound halfway through the ventricular contraction, which is followed by a systolic murmur as blood is regurgitated back [medical-dictionary.thefreedictionary.com]

Chordae tendineae rupture complicating the systolic click-late systolic murmur syndrome. Am J Cardiol. 1974 May 6;33(5):681–684. [PubMed] [Google Scholar] Jeresaty RM. [ncbi.nlm.nih.gov]

Pulmonary Valve Stenosis

He was found to have an ejection systolic murmur and evidence of right ventricular outflow tract obstruction, with a peak velocity of 4.5 m/s recorded by transthoracic Doppler [ncbi.nlm.nih.gov]

Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

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]

Rheumatic Aortic Valve Obstruction

Ejection systolic murmur in aortic stenosis is preceded by a click and is best heard over the right upper sternal border, radiating into the suprasternal region and neck. [link.springer.com]

Physical examination Systolic ejection murmur radiating to the neck. [medical-dictionary.thefreedictionary.com]

(or ejection systolic) murmur that is heard on praecordial auscultation 1,2. [radiopaedia.org]

Supravalvular Aortic Stenosis

A 53-year-old man was referred to our Institution for evaluation of a systolic murmur and congestive heart failure. [ncbi.nlm.nih.gov]

Diagnostic methods The discovery of a systolic murmur may prompt a cardiological examination, potentially showing ventricular hypertrophy. [orpha.net]

The murmur associated with it is systolic murmur and is similar in character to valvular aortic stenosis murmur but commonly present at 1st Intercostal space (ICS) on the [en.wikipedia.org]

Congenital Pulmonary Valve Stenosis

Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea. [ncbi.nlm.nih.gov]

Systolic Murmurs - Pulmonary Stenosis You are listening to a typical example of the murmur caused by pulmonary valve stenosis. [med.ucla.edu]

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

Coarctation of the Aorta

Examination showed mild tachycardia, tachypnoea, weak femoral pulses, and a soft systolic murmur at the left sternal edge. [bmj.com]

A grade 2 to 3/6 ejection systolic murmur is often present at the upper left sternal border, left axilla, and sometimes most prominently in the left interscapular area (see [merckmanuals.com]

[…] table Heart Murmur Intensity). [msdmanuals.com]

Congenital Aortic Valve Stenosis

In older children, the clinical diagnosis is easier to establish and is based on findings like a harsh systolic crescendo-descrescendo ejection murmur that peaks in mid-systole [symptoma.com]

Heart murmurs should first be identified as systolic or diastolic. If the murmur is systolic, they should be further classified as pansystolic or ejection. [clinicaladvisor.com]

Both conditions are associated with an early, harsh systolic murmur that is transmitted to the carotids. [patient.info]

Acyanotic Congenital Heart Disease

[…] thrill at LLSB and loud S 2 ± grade 3–4/6 holosystolic regurgitant murmur along LLSB ± systolic murmur of MR at apex ± mid-diastolic rumble at LLSB or at apex ± gallop rhythm [unboundmedicine.com]

[…] thrill harsh pansystolic murmur LLSE ♥ ECG: normal (smaller VSD) or LVH ± RVH (larger VSD) 8 VSD’s ♥ Larger defect: MDM @ apex (mitral flow murmur) narrowly split S2 and [slideplayer.com]

Exam pink reduced or absent femoral pulses soft systolic murmur mid LSE and/or mid left back ? [powershow.com]

Infective Endocarditis

A systolic murmur was heard on the tricuspid area upon examination, and an echocardiogram showed endocardial lesions in the right atrium. [ncbi.nlm.nih.gov]

In spite of the improvement of her unconscious state, she developed a new-onset systolic murmur on day 13, and echocardiography revealed severe mitral valve regurgitation [ncbi.nlm.nih.gov]

On physical exam, you appreciate a faint systolic murmur. Before any lab tests or other imaging have been done, you obtain the following echo: Post navigation [web.archive.org]

Papillary Muscle Disorder

MV Opens Atrial Contraction Begins MV Closes Passive Filling Active Filling S3 S4 20 Physical Examination The Murmur –A systolic murmur that is usually long and loud and heard [slideplayer.com]

Functional papillary muscle insufficiency is characterized by an apical late systolic murmur and typically resolves without treatment. [msdmanuals.com]

A mid-systolic ejection murmur was heard along the left sternal border with chest X-ray showed minor pulmonary congestion. [bmccardiovascdisord.biomedcentral.com]

Pulmonary Valve Disease

If infundibular or supravalvular stenosis coexists, the systolic murmur changes accordingly: it peaks later during the systole or becomes more prolonged. [symptoma.com]

Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down. [patient.info]

General appearance was normal and cardiac auscultation revealed 2/6 systolic murmur in the left second intercostal space. ECG and X-ray chest were normal. [file.scirp.org]

Acquired Ventricular Septal Defect

VSD murmurs vary in intensity based on their size. Small to moderate resistive systolic murmurs may be louder than large non-resistive systolic murmurs. [lsu.edu]

A grade 2 to 5/6 systolic murmur is audible at the lower left sternal border. It may be pansystolic or early systolic. [patient.info]

The blood pressure was 100/65 mm Hg and there was a harsh systolic murmur at the left sternal edge. The chest was clear and there was no peripheral oedema. [pmj.bmj.com]

Right Ventricular Outflow Obstruction

At 5 years of age, a harsh systolic murmur was detected for the first time. [ncbi.nlm.nih.gov]

Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block. [onlinejacc.org]

Physical examination revealed a harsh S1 sound and a grade IV systolic murmur on the left sternal border. [cardiothoracicsurgery.biomedcentral.com]

Left Ventricular Outflow Obstruction

Four hours after thrombolysis she developed acute pulmonary oedema and a new systolic murmur. [ncbi.nlm.nih.gov]

murmur over the praecordium Investigations ECHO: -> small LV cavity -> normal systolic function and no RWMA -> AVR functioning well -> flow acceleration noted in LVOT on [lifeinthefastlane.com]

On a follow-up physical examination, a grade 3/6 systolic murmur was detected at the left sternal border. [kjim.org]

Straight Back Syndrome

An asymptomatic 45-year-old man was referred to our hospital for detailed evaluation of a systolic ejection murmur. [ncbi.nlm.nih.gov]

A 23-year-old asymptomatic woman was referred to our hospital for further examination of a systolic ejection murmur with fixed splitting of the second heart sound auscultated [ncbi.nlm.nih.gov]

Low grade systolic murmurs and non-ejection clicks are common but not systolic thrill. [medicine-on-line.com]

Chordae Tendinae Rupture

A systolic murmur is sometimes heard for the first time after an episode of myocardial ischemia or the occurrence of a myocardial infarction. [jamanetwork.com]

murmur that is best heard at the mitral region and may radiate to the axilla. [amboss.com]

The systolic click moves toward the first heart sound with upright posture and the systolic murmur becomes longer and often louder; a systolic murmur may be present only in [karger.com]

Endocardial Cushion Defect

A cleft in the left AV valve results in a blowing apical systolic murmur of mitral regurgitation. [merckmanuals.com]

A systolic murmur of a ventricular septal defect can be heard as well as the systolic murmur of mitral insufficiency. [chdbabies.com]

[…] at her left intercostal space, and grade two to three systolic murmur at the apex of her heart. [ncbi.nlm.nih.gov]

Tricuspid Valve Insufficiency

In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic. [patient.info]

Phonocardiogram (shows a systolic murmur). Echo (the main method shows the deformation and thinning of the flaps, the formation of new structures, etc.). [vascular.vsebolezni.com]

Tricuspid valve prolapse may present with a midsystolic click and a late systolic murmur, most prominent at the lower left sternal border. [patient.info]

Mitral Papillary Muscle Rupture

A systolic murmur was noted and an urgent transoesophageal echocardiogram was performed (top, transgastric view; MV, mitral valve; LV, left ventricle; LA, left atrium). [heart.bmj.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]

In each case severe mitral regurgitation was suggested by the sudden appearance of a systolic murmur followed by progressive congestive heart failure. [nejm.org]

Rheumatic Valvulitis

This picture together with a systolic murmur, pericardial friction rub and an ESR of 118 mm/h prompted a transesophageal echocardiogram (TEE) revealing a myxomatous mitral [bloodjournal.org]

This case does not present a better description of systolic murmur audible in the aortic area. [scielo.br]

The cardiovascular system examination showed normal heart sounds, S1 soft, 3/6 presystolic murmur at the apex radiating to the axilla, 2/6 systolic murmur at the left lower [heartindia.net]