The heart rate was >250 beats per minute, and a prominent holosystolic
murmur was auscultated.
The murmurs that cause this effect are often called holosystolic
Heart: Regular rate and rhythm with a high-pitched holosystolic
murmur heard at the left sternal border at the 4th intercostal space.
The child was cyanotic with early clubbing and a grade 3/6 holosystolic
murmer at the left sternal border.
Physical examination showed a slightly elevated temperature and jugular venous pressure, holosystolic
murmur, enlarged liver, abnormal pulse, and pleural effusions.
a physiological Mitral regurgitation signal is not holosystolic
Physical exam of the patient in the ICU revealed a holosystolic
During the next 2 years, these symptoms persisted, along with exertional chest pains, a previously undiagnosed ausculted II to III/VI holosystolic
murmur, headaches, difficulty speaking, difficulty sleeping, weakness involving the arms, joint pain, and facial tremors.
The physical examination revealed grade 2/6 holosystolic
murmur at the lower left sternal border.
Cardiovascular: Acrocyanosis of the newborn, cool extremities with CFT 3 seconds, loud holosystolic
murmur heard best at the right upper sternal border, significantly hyperdynamic chest wall.