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 murmur.
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.
