Heart murmur H Mis abnormal sound Produce by vibration Within the heart or large arteries
Heart murmur • H M is abnormal sound • Produce by vibration • Within the heart or large arteries
Mechanism Blood velocity个 Blood vascosityl Valve: narrowed or incompetent: organic or relative abnormal connection Vibration of loose structure Diameter of vessel↑or
• Mechanism – Blood velocity – Blood vascosity – Valve: narrowed or incompetent; organic or relative – Abnormal connection – Vibration of loose structure – Diameter of vessel or
Laminar Flow In the absence of an obstruction to flow, blood cells move in a uniform Turbulent Fl A high velocity yet is created ut the ste of an obstruction. Beyond the obstruc tion, blood cells mowe erratically in different directions and at varving velocities
Ss 器质性关闭不全 血流加速形成旋满 相对性关闭不全 器质性狄罕 常通道 和刈性狭 漂浮物
character of murmur Location Murmur of valvular origin are usuall best heard over their respective valve area Timing Murmurs are timed according to the phase of cardiac cycle during which they occur SM. DM. CM Early. middle late
• character of murmur • Location: – Murmur of valvular origin are usually best heard over their respective valve area • Timing: – Murmurs are timed according to the phase of cardiac cycle during which they occur. – SM, DM , CM. – Early, middle, late