gangadharan nair - Murmurs can be classified by seven different characteristics: timing, shape, location, radiation, intensity, pitch and quality. Quality refers to unusual characteristics of a murmur, such as blowing, harsh, rumbling or musical. (1) Stenosis of Bicuspid aortic valve * Symptoms tend to present between 40 and 70 years of age. (2) Stenosis of Tricuspid Aortic Valve * Symptoms more likely to present after 80 years of age. (3) Hypertrophic subaortic stenosis * Symptoms are a harsh murmur in mid-systole, often accompanied by S4, Brisk Bifid Carotid upstroke. Murmur increases with standing and valsalva maneuver. Mitral stenosis: A distinctive murmur, snap, or other abnormal heart sound may be heard. The typical murmur is a rumbling sound that is heard over the heart during the resting phase of the heartbeat. The sound gets louder just before the heart begins to contract. Tricuspid stenosis: A mid diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. It is best heard over the left sternal border with rumbling character and tricuspid opening snap with wide splitting S2. May increase in intensity with inspiration (Carvallo's sign). The diagnosis and the severity can be assessed by echocardiography. Palmonary stenosis: Murmurs are blowing, whooshing, or rasping sounds heard during a heartbeat.
do all stenoses have a rumbling sound upon auscultation?
shoney - stenoses of heart valves? I thought it was more of a hissing sound than a rumbling sound.
ReplyDeletegangadharan nair - Murmurs can be classified by seven different characteristics: timing, shape, location, radiation, intensity, pitch and quality.
ReplyDeleteQuality refers to unusual characteristics of a murmur, such as blowing, harsh, rumbling or musical.
(1) Stenosis of Bicuspid aortic valve
* Symptoms tend to present between 40 and 70 years of age.
(2) Stenosis of Tricuspid Aortic Valve
* Symptoms more likely to present after 80 years of age.
(3) Hypertrophic subaortic stenosis
* Symptoms are a harsh murmur in mid-systole, often accompanied by S4, Brisk Bifid Carotid upstroke. Murmur increases with standing and valsalva maneuver.
Mitral stenosis: A distinctive murmur, snap, or other abnormal heart sound may be heard. The typical murmur is a rumbling sound that is heard over the heart during the resting phase of the heartbeat. The sound gets louder just before the heart begins to contract.
Tricuspid stenosis: A mid diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. It is best heard over the left sternal border with rumbling character and tricuspid opening snap with wide splitting S2. May increase in intensity with inspiration (Carvallo's sign). The diagnosis and the severity can be assessed by echocardiography.
Palmonary stenosis: Murmurs are blowing, whooshing, or rasping sounds heard during a heartbeat.
sibtain w - Mitral stenoses is the only one that i know of
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