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Heart Sounds and Murmurs: Prof Anura Weerasinghe
Heart Sounds and Murmurs: Prof Anura Weerasinghe
Objectives
Heart sounds (including murmurs) & their
genesis
Correlation of heart sounds with cardiac
events
Genesis
Heart sounds
Sudden changes in the rate of flow create
vibrations which can be heard.
Murmurs
Due to turbulent blood flow
Bruits
noise heard over blood vessels
Thrill
Vibration as perceived by the sense of touch
Heart sounds
Closing of the valves is associated with audible
sounds
No audible sounds occur when valves open
The first heart sound
associated with closure of the atrioventricular valves
Guyton 246
Incompetent (insufficiency)
Blood flow backward through it produces the
murmur (regurgitation)
Heart murmurs
Valve
Abnormality
Timing of
murmur
Aortic or
pulmonary
Stenosis
Systolic
Insufficiency
Diastolic
Stenosis
Diastolic
Insufficiency
systolic
Mitral or
tricuspid
Cyanotic
Fallots tetrology
Guyton 250
Guyton 251
Fallots tetralogy
VSD
PS
Overrding of the aorta
RV hypertrophy
Guyton 246
Objectives
Heart sounds (including murmurs) & their
genesis
Correlation of heart sounds with cardiac
events