Arrhythmias
To determine arrhythmia
Types of murmur
Systolic
Pansystolic = mitral/ tricuspid regurg, VSD
Mid/ Ejection systolic/ crescendo-descendo: aortic/ pul stenosis
Diastolic (usually softer)
Early diastolic/ descendo: aortic/ pulmonary regurg
Mid diastolic: mitral/ tricuspid stenosis
Continuous
PDA
Source
Talley & O'Connor 9th Ed 2009
- Regular/ irregular
- What is exact rate? (tachy/ brady)
- Width of QRS complex (wide = >2.5 small sq wide = ventricular origin; narrow = supraventricular origin)
- Independent P waves? (AF, heart block, SVT)
Types of murmur
Systolic
Pansystolic = mitral/ tricuspid regurg, VSD
Mid/ Ejection systolic/ crescendo-descendo: aortic/ pul stenosis
Diastolic (usually softer)
Early diastolic/ descendo: aortic/ pulmonary regurg
Mid diastolic: mitral/ tricuspid stenosis
Continuous
PDA
Source
Talley & O'Connor 9th Ed 2009