3)Exercise HR个 Blood volume个 Blood velocity make the murmur of ms个
3) Exercise: - HR - Blood volume - Blood velocity make the murmur of MS
The clinical value of heart murmur 1. Important in diagnosis 2. Organic M: MS Relative M: valve, supporting tissues of the valve abnormal Functional m: increased flow across a normal valve
The clinical value of heart murmur 1. Important in diagnosis 2. Organic M : MS Relative M: valve , supporting tissues of the valve abnormal Functional M: increased flow across a normal valve
1. Systolic murmur 1)MV area: produced by MI Organic: RHD, MVP Character: pan systolic Harsh. Loud >3/6 Radiate to the left axilla Maneuver insp\ exp 目目目
• 1. Systolic murmur • 1) MV area : produced by MI – Organic: RHD, MVP Character: pan systolic Harsh, Loud >3/6 Radiate to the left axilla Maneuver insp exp
Relative murmur: Dilated Lv BP个 acute rheumatic fever Severe anemia Character Functional M: Valve(-) blood flow faster Fe ever Anemia Hyperthyroidism Character
– Relative murmur: Dilated LV BP Acute rheumatic fever Severe anemia Character: – Functional M: Valve(-) blood flow fastter Fever Anemia Hyperthyroidism Character:
2)AV area-AS Organic: RHD Character: Harsh. crescendo-decrescendo radiate->neck, Thrill. s,y Relative: Arteriosclerosis. Dilation of aorta HP s2
• 2) AV area—AS – Organic: RHD Character: Harsh, crescendo-decrescendo, radiate→neck, Thrill, S2 – Relative: Arteriosclerosis, Dilation of aorta, HP