systolic murmur


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murmur

 [mer´mer]
an auscultatory sound, benign or pathologic, loud or soft, particularly a periodic sound of short duration of cardiac or vascular origin.
aortic murmur a sound indicative of disease of the aortic valve.
apex murmur (apical murmur) a heart murmur heard over the apex of the heart.
arterial murmur one in an artery, sometimes aneurysmal and sometimes constricted.
Austin Flint murmur a loud presystolic murmur at the apex heard when aortic regurgitation is preventing the mitral valve from closing; called also Flint's murmur.
blood murmur one due to an abnormal, commonly anemic, condition of the blood. Called also hemic murmur.
cardiac murmur heart murmur.
cardiopulmonary murmur one produced by the impact of the heart against the lung.
continuous murmur a humming heart murmur heard throughout systole and diastole.
crescendo murmur one marked by progressively increasing loudness that suddenly ceases.
Cruveilhier-Baumgarten murmur one heard at the abdominal wall over veins connecting the portal and caval systems.
diastolic murmur a heart murmur heard at diastole, due to mitral obstruction or to aortic or pulmonic regurgitation with forward flow across the atrioventricular valve; it has a rumbling quality.
Duroziez's murmur a double murmur during systole and diastole, palpated over the femoral or another large peripheral artery; due to aortic insufficiency.
ejection murmur a systolic murmur heard predominantly in midsystole, when ejection volume and velocity of blood flow are at their maximum; it is produced by ejection of blood into the pulmonary artery and aorta.
Flint's murmur Austin Flint murmur.
friction murmur friction rub.
functional murmur a heart murmur occurring in the absence of structural changes in the heart, usually due to high cardiac output states. Called also innocent murmur and physiologic murmur.
Gibson murmur a long rumbling sound occupying most of systole and diastole, usually localized in the second left interspace near the sternum, and usually indicative of patent ductus arteriosus. Called also machinery murmur.
Graham Steell murmur a high-pitched diastolic murmur due to pulmonic regurgitation in patients with pulmonary hypertension and mitral stenosis.
heart murmur see heart murmur.
hemic murmur blood murmur.
innocent murmur functional murmur.
machinery murmur Gibson murmur.
mitral murmur a heart murmur due to disease of the mitral valve; it can be either obstructive or regurgitant.
musical murmur one that has a periodic harmonic pattern; it may be either a heart murmur or a vascular murmur.
organic murmur one due to a lesion in the organ or organ system being examined, e.g., in the heart, in a blood vessel, or in lung tissue.
pansystolic murmur a regurgitant murmur heard throughout systole, due to blood flow between two chambers normally of very different pressures in systole; the most common causes are mitral regurgitation, tricuspid regurgitation, and ventricular septal defects.
physiologic murmur functional murmur.
prediastolic murmur one occurring just before and with diastole, due to aortic regurgitation or pulmonic regurgitation.
presystolic murmur one shortly before the onset of ventricular ejection, usually associated with a narrowed atrioventricular valve.
pulmonic murmur one due to disease of the pulmonary valve or artery.
regurgitant murmur a heart murmur due to a dilated valvular orifice with consequent valvular regurgitation.
seagull murmur a raucous murmur resembling the call of a seagull, frequently heard in aortic stenosis or mitral regurgitation.
Still's murmur a functional heart murmur of childhood, with a buzzing or vibratory tone heard in midsystole; it usually disappears by puberty.
systolic murmur a heart murmur heard at systole, usually due to mitral or tricuspid regurgitation or to aortic or pulmonary obstruction.
to-and-fro murmur a friction sound or murmur heard with both systole and diastole.
tricuspid murmur a heart murmur caused by disease of the tricuspid valve; it may be either obstructive or regurgitant.
vascular murmur one heard over a blood vessel.
vesicular murmur vesicular breath sounds.

sys·tol·ic mur·mur

a murmur heard during ventricular systole.

sys·tol·ic mur·mur

(sis-tol'ik mŭr'mŭr)
A sound audible during ventricular systole.
References in periodicals archive ?
Cardiologic examination revealed a 2/6 systolic murmur. Additionally, the liver was palpable 5 cm below the costal margin.
Out of 500 patients 500 (100%) patients have pallor, 134 (26.8%) have bald tongue, 136 (27.2%) have koilonychia, 47 (9.4%) have ejection systolic murmur and 43 (8.6%) have bilateral pedal oedema.
On physical examination, the patient presented with moderate peripheral edema and bibasilar crackles, heart rate 60 beats-per-minute, blood pressure 150/90 mmHg, systolic murmur grade III/VI in mitral and Botkin-Erb areas.
His physical examination revealed radio-femoral delay and systemic hypertension with right upper limb blood pressure of 190/110 mmHg and in in lower limb of 90/50 mmHg along with grade 3/6 ejection systolic murmur over left sternal border.
The patient was subsequently noted to have a loud ejection systolic murmur. The blood pressure in the upper extremities was noted to be higher than in the lower extremities (91/65 mmHg versus 77/45 mmHg, resp.).
On physical examination his blood pressure was 86/40 mmHg and pulse was 74 beats per minute with a grade 5/6 ejection systolic murmur at the right upper sternal border radiating to carotids.
Clinical and special investigation features of aortic stenosis Aortic stenosis History Exertional dyspnoea Angina Syncope Physical findings Small-volume, slow-rising pulses Narrow pulse pressure JVP normal, unless heart failure or MV disease Pressure-loaded undisplaced apex beat Soft or single second heart sound Crescendo-decrescendo ejection systolic murmur at base of the heart Radiated to carotids Longer murmur = more severe High-pitched widely radiating murmur: Gallavardin effect--can be mistaken for MR Systolic click in bicuspid valve may be heard Special investigations ECG Left ventricular hypertrophy CXR Normal-sized heart (ventricle) Aortic calcification Post-stenotic dilatation: especially in bicuspid valves Table 4.
Systolic murmur prominent at aortic area was noted on auscultation.
The persistent fever, the presence of systolic murmur, and thrombo-embolic phenomenon involving the radial artery led to investigation of possible endocarditis with transesophageal echocardiography revealing a 1.6cmx 1.0cm vegetation in the posterior mitral valve leaflet with hypoechoic areas suggestive of valvular abscess.

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