Heart murmur resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

• Life threatening cause 1
• Life threatening cause 2
• Life threatening cause 3

Common Causes

• systolic murmur
  • Ejection murmurs
    • Functional
      • Still's murmur and its adult variant
      • Flow murmur emanating from the root of the pulmonary artery
      • Murmur associated with high cardiac output states
      • Flow murmurs associated with aortic or pulmonary valvular insufficiency
    • Organic
      • Valvular aortic stenosis
      • Aortic sclerosis
      • Discrete subvalvular aortic stenosis (web or tunnel)
      • Supravalvular aortic stenosis
      • Hypertrophic obstructive cardiomyopathy
      • Pulmonary valvular stenosis
      • Pulmonary infundibular stenosis
      • Atrial septal defect
      • Tetralogy of Fallot
  • Regurgitant murmurs
    • Functional: none
    • Organic:
      • Mitral regurgitation:
        • Rheumatic
        • Papillary muscle dysfunction
        • Mitral valve prolapse
        • Acute
      • Tricuspid regurgitation:
        • Chronic
        • Acute
      • Ventricular septal defect
        • Roger's type (small and large)
          • Without pulmonary hypertension
          • With pulmonary hypertension
        • Slitlike
    • Extracardiac sounds simulating systolic heart murmurs
      • Subclavian (supraclavicular/brachiocephalic) murmur
      • Internal mammary soufflé
      • Carotid artery bruits
      • Coarctation of the aorta
      • Murmurs emanating from a dilated aortic or pulmonary artery root
      • Patent ductus arteriosus with pulmonary hypertension
        

• • Holosystolic (pansystolic) murmurs:
    • chronic MR.
    • chronic TR.
    • VSD
    • PDA with pulmonary hypertension
  • Midsystolic (systolic ejection) murmurs
    • Innocent murmur (still's murmur)
    • AS
    • PS
    • HOCM
    • Functional:
      • ASD
      • VSD
      • Straight back syndrome
      • Aortic root dilation
      • Pulmonary artery dilation
      • pulmonary hypertension
      • Hyper-kinetic status:
        • pregnancy
        • Anemia
        • hyperthyroidism
        • exercise
        • A-V fistula
  • Early systolic murmurs
    • Acute MR
    • Acute TR
    • Small VSD
  • Mid to late systolic murmurs
• diastolic murmur
  • Early high-pitched diastolic murmurs
  • Middiastolic murmurs
  • Presystolic murmurs
• continuous murmur

Diagnosis

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

• The content in this section is in bullet points.

Don'ts

• The content in this section is in bullet points.

References

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