Systolic Heart murmurs.pptx

A concise description of heart murmurs during systole with example audio of every murmur for practical learning. Auscultation of heart murmurs.

1. SYSTOLIC HEART MURMURS Prof Dr A Samuel Dinesh MD Professor of Medicine Institute of Internal Medicine RGGGH & MMC

2. HEART MURMURS Heart murmurs are produced by turbulent flow of blood across an abnormal valve, septal defect or outflow obstruction or by increased velocity of flow through a normal valve. Murmurs are described based on the following characters: Timing , Grade , Quality , Pitch , Configuration , Radiation/conduction , Best heard with diaphragm or bell , patient position , With breath held in inspiration or expiration , variation with other maneuvers and location of maximum intensity. Based on the timing of the murmur during cardic cycle, the murmurs can be classified as : Systolic murmurs. Diastolic murmurs.

3. SYSTOLIC MURMURS Systolic heart murmurs can be: Early systolic murmurs. Mid systolic/ Ejection systolic murmurs. Late systolic murmurs. Pansystolic murmurs.

4. MID SYSTOLIC MURMURS : The murmur begins in early systole following a murmur-free interval and ends in late systole followed by a murmur free interval before S2.

5. Causes of mid systolic murmurs: Aortic stenosis Pulmonary stenosis Hypertrophic Obstructive cardiomyopathy.

6. PAN SYSTOLIC MURMURS: The murmur begins with first heart sound and extend through entire systole. They are also known as holosystolic murmurs.

7. Causes Pan systolic murmurs: Mitral regurgitation. Tricuspid regurgitation. Ventricular septaldefect . Patent Ductus Arteriosus with Eisenmenger syndrome.

8. EARLY SYSTOLIC MURMURS: The murmur begins with first heart sound and extends upto middle or late systole.

9. Causes of early systolic murmurs: Acute severe MR Acute Severe TR Ventricular septal defect with pulmonary hypertension.

10. SUMMARY OF SYSTOLIC MURMURS

11. THANK YOU GOD BLESS YOU.