Heart murmur physical examination

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

Physical Examinations

Examinations of Individuals with Heart Murmurs

• Cardiac maneuvers may accentuate the murmur
• Jugular venous distension may be observed in tricuspid valve disease
• Bruits may reflect transmitted murmurs
• The carotid upstroke will be diminished in aortic stenosis (pulsus parvus and tardus)
• Peripheral pulses may be accentuated in the presence of aortic insufficiency
• Peripheral edema can be seen if there is right heart failure or constrictive pericarditis