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Wolf's Down and Dirty Lists


Murmur Description Indication
Cooing Murmur Musical murmur
Holosystolic Murmur Pansystolic murmur
Innocent Murmur Functional murmur without anatomic abnormality for the murmur.
Musical Murmur Having a musical quality
Pansystolic Murmur Occupies entire interval of systole.
Regurgitant Murmur Caused by leakage of an incompetent heart valve.
Hemic Murmur

Flow Murmur

Murmur heard, but no valvular lesions. Due to blood turbulence. Anemia
Austin Flint Murmur Presystolic murmur similar to mitral stenosis, heard at cardiac apex. Caused by regurgitation from Aorta partially narrowing the mitral valve. Aortic Insufficiency
Diamond-Shaped Murmur Crescendo-Decrescendo murmur Aortic Stenosis

Pulmonic Stenosis

Early Diastolic Murmur Begins right after the second heart sound. Aortic Insufficiency
Ejection Murmur Diamond-shaped systolic murmur ending before the second heart sound, produced by the ejection of blood into the Aorta or Pulmonary Arteries Aortic Stenosis

Pulmonic Stenosis

Cardiopulmonary Murmur Related to movement of the heart, and disappearing when the breath is held. Innocent
Still's Murmur Innocent musical murmur resembling a twanging string Innocent
Late Systolic Murmur Diamond-shaped murmur late in systole. Often accompanied by mid or late systolic click. Mitral Valve Prolapse (MVP)
Middiastolic Murmur Begins after the AV valves have opened in diastole. Mitral Stenosis
Presystolic Murmur Occurs during late diastole, caused by contraction of the atria. Mitral Stenosis

Narrowing of the AV valves

Machinery Murmur Continuous rumbling murmur, heard throughout systole and diastole. Patent Ductus Arteriosus
Extracardiac Murmur Heard over precordium, but originating from structures other than the heart Pericardial Friction Rubs
Graham Steele's Murmur Early diastolic murmur heard over Erb's Point. Pulmonic Insufficiency, secondary to Pulmonary Hypertension and Mitral Stenosis.
Roger's Murmur Loud pansystolic murmur maximal at the left sternal border. Ventricular Septal Defect (VSD)

Copyright ©1999, Scott Goodman, all rights reserved

Article reviewed by:

Dr. Tamer Fouad, M.D.

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