Graham Steel Murmur

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

A Graham Steel murmur is a heart murmur typically associated with pulmonary regurgitation. It is a high pitched early diastolic murmur heard best at the left sternal edge in the second intercostal space during inspiration.

Pathophysiology

The murmur is heard due to a high velocity regurgitant flow across the pulmonary valve

Differential Diagnosis of Underlying Causes

The Graham Steel murmur is most often a consequence of pulmonary hypertension.