wpe3.jpg (1729 bytes)Samples of Murmurs



One year old with moderate muscular ventricular septal defect.
S1 is obliterated.  S2 is single.
There is a regurgitant systolic murmur and an apical diastolic rumble.

Adolescent with prosthetic mitral and aortic valve with mitral regurgitation.
S1 is sharp due to closing of the prosthetic mitral valve.  There is a systolic regurgitant murmur and a diastolic flow rumble. S2 is widely split.

Adolescent following total repair of Tetralogy of Fallot.
S1 is normal, there is a long systolic ejection murmur.
S2 is widely split.

Adolescent with aortic valvar stenosis and regurgitation.
S1 normal.  There is a systolic ejection click.  There is a Systolic ejection murmur.
There is a protodiastolic murmur of aortic regurgitation.

An infant with a small ventricular septal defect.
S1 is muffled.  There is a harsh regurgitant systolic murmur.
S2 is single.

Adolescent with bicuspid aortic valve.
S1 normal.  There is a systolic ejection click. S2 is normal.  There is no murmur.

Young adult with a small ventricular septal defect.
There is a harsh regurgitant systolic murmur.  S2 is normal.
Diastole is clear.

Child with a vibratory murmur (Still's).
S1 is normal.  S2 is physiologically split. 
There is a mid-systolic vibratory-musical murmur.  Diastole is clear.

Child with Patent Ductus Arteriosus.  S1 is normal.  S2 is closely split.
A2 is loud.  There is a continuous murmur.

A child with aortic valvular stenosis.
S1 is normal.  There is a systolic ejection click and a systolic ejection murmur. 
S2 is single.  Diastole is clear.

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Objectives | History | Physical Exam | Cardiac Cycle | Murmurs |
Criteria for Referral | Compare Sounds | Case Studies | Samples of Murmurs