• These include systolic heart murmurs, diastolic heart murmurs, or continuous murmurs. (wikipedia.org)
  • Continuous murmurs are not placed into the categories of diastolic or systolic murmurs. (wikipedia.org)
  • Timing refers to whether the murmur is a systolic, diastolic, or continuous murmur. (wikipedia.org)
  • Characteristics of pathologic murmurs include a sound level of grade 3 or louder, a diastolic murmur or an increase in intensity when the patient is standing. (aafp.org)
  • After the opening snap, there is a late diastolic rumbling murmur that does not radiate. (picmonic.com)
  • This is followed by a diastolic murmur. (picmonic.com)
  • There are other terms that a vet will use to describe the character of a murmur - this helps communicate to other veterinarians the characteristics of the murmur as certain types of murmurs are more commonly associated with specific heart or valve diseases. (northstarvets.com)
  • Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract abnormalities, and patent ductus arteriosus. (aafp.org)
  • One set of investigators 2 found that physicians were generally accurate in determining whether a murmur was benign or pathologic. (aafp.org)
  • Busy clinicians need an approach that allows them to appropriately identify and refer patients with pathologic murmurs to a pediatric cardiologist. (aafp.org)
  • Sometimes a murmur is determined to be "innocent" or "physiologic," while other times the murmur is determined to be pathologic or caused by disease. (vcahospitals.com)
  • Pathologic heart murmurs can be caused by a structural problem within the heart (i.e., cardiac disease), or can be due to a problem that is extracardiac (i.e., not caused by heart disease). (vcahospitals.com)
  • ÿ?Although most are not pathologic, a murmur may be the sole manifestation of serious heart disease? (nursingwritersbureau.com)
  • Structural heart problems may be congenital (the cat is born with a defective heart) or acquired later in life. (vcahospitals.com)
  • In cats, the most common congenital structural heart defects are a ventricular septal defect (VSD) or an atrial septal defect (ASD), although sometimes a cat may be born with a defective heart valve. (vcahospitals.com)
  • The diagnosis is confirmed regardless of the pulmonary arterial pressure, as long as it is accompanied by a right-to-left shunt and absence of congenital heart disease. (medscape.com)
  • What is a congenital murmur vs. an acquired murmur? (northstarvets.com)
  • A congenital murmur is a murmur in a pet that is present from birth (or near birth). (northstarvets.com)
  • Congenital murmurs are associated with heart defects that the pet was born with. (northstarvets.com)
  • However, some congenital murmurs may be missed in puppies or kittens and only detected later in life. (northstarvets.com)
  • 36 months of age, especially boys, with or without a congenital heart defect, with a recent history of oral aphthae, and experiencing signs and symptoms compatible with endocarditis, Kingella should be suspected as the causative pathogen. (cdc.gov)
  • Although early reports described IE exclusively in children whose hearts were structurally abnormal because of congenital heart disease or acquired rheumatic heart disease, this infection has more recently been reported in diverse groups of patients. (cdc.gov)
  • Tetralogy of Fallot is the most common cyanotic congenital heart disease and is associated with a harsh systolic murmur that improves with squatting . (google.com)
  • There are two ways in which heart murmurs can be present: at birth (congenital) or develop later in life (acquired). (bluenethospitals.com)
  • Heart murmurs are not always preventable, as they can be associated with congenital factors or underlying medical conditions. (bluenethospitals.com)
  • Nearly all congenital defects have a systolic murmur - except most notably a patent ductus arteriosus (PDA), which has a characteristic continuous murmur. (bsavalibrary.com)
  • Recent reviews of congenital heart disease are available. (bsavalibrary.com)
  • They are difficult to differentiate from a congenital defect on auscultation alone and thus create a diagnostic dilemma for the clinician when a murmur is discovered, and cause problems on how best to advise the owner. (bsavalibrary.com)
  • Fetal electrocardiography and artificial intelligence for prenatal detection of congenital heart disease. (cdc.gov)
  • A Cardiac Deep Learning Model (CDLM) to Predict and Identify the Risk Factor of Congenital Heart Disease. (cdc.gov)
  • Predictors of Human Milk Feeding and Direct Breastfeeding for Infants with Single Ventricle Congenital Heart Disease: Machine Learning Analysis of the National Pediatric Cardiology Quality Improvement Collaborative Registry. (cdc.gov)
  • Objectives: To determine the usefulness of cardiovascular physical examination (CPE) as a screening tool in a lowresource setting for detecting congenital heart disease (CHD) in newborns delivered at the Maternity Unit of Korle Bu Teaching Hospital (KBTH), Accra, Ghana. (bvsalud.org)
  • A functional murmur is a benign heart murmur that is primarily due to physiologic conditions outside the heart. (wikipedia.org)
  • If the patient is asymptomatic with benign family history and has the following characteristics* to the heart murmur then no further cardiac evaluation is needed. (childrensnational.org)
  • This type of murmur is benign (not harmful). (vcahospitals.com)
  • What is a benign or "innocent" murmur? (northstarvets.com)
  • Some heart murmurs are called benign (or innocent or physiological), meaning there is no apparent heart disease that explains the murmur. (northstarvets.com)
  • Benign murmurs are usually soft (rather than loud), and can be intermittent. (northstarvets.com)
  • Benign puppy murmurs will generally disappear by 12 to 15 weeks of age. (northstarvets.com)
  • Murmurs associated with anemia or excitement are also considered benign murmurs. (northstarvets.com)
  • These can be benign, but more often (especially in dogs) are associated with developing heart or valve disease. (northstarvets.com)
  • Heart murmur Ventricular septal defect murmur in 14 year old female's heart, heard from the mitral valve area. (wikipedia.org)
  • In cases where the weakness of the heart muscle is severe and progressive, a heart transplant may be necessary and a ventricular assist device used to bridge to transplant. (congenital.org)
  • Volume overload and pulmonary overcirculation lead to progressive left ventricular dysfunction and congestive heart failure. (medscape.com)
  • On echocardiography, the characteristic appearance includes a thickened ventricular septum and left ventricular posterior wall without an obvious etiology (eg, hypertension, aortic stenosis). (medscape.com)
  • The heart achieves the coordinated contraction of the atrial and ventricular chambers due to the precise timing of the cardiac conduction system (CCS), a specialized complex and heterogeneous network of cells that initiate and allow propagation of action potentials through the heart. (medscape.com)
  • Intensity refers to the loudness of the murmur with grades according to the Levine scale, from 1 to 6: Pitch may be low, medium or high. (wikipedia.org)
  • No. The loudness of a murmur reflects the amount of turbulence that is present in the heart. (vcahospitals.com)
  • However, the loudness of a heart murmur does not always correlate directly with the severity of the disease. (vcahospitals.com)
  • Murmur grading is simply your veterinarian's way of describing the loudness of a murmur. (northstarvets.com)
  • The grade or loudness of the murmur is only sometimes related to the severity of the heart abnormality causing it. (northstarvets.com)
  • Two-tube stethoscopes provide stereo separation of auscultation sounds, allowing you to hear the subtle characteristics of heart sounds and murmurs more distinctly. (webmedbooks.com)
  • Design and implement techniques for the detection of events such as the QRS complex, heart sounds and murmurs, and the dicrotic notch. (uni-erlangen.de)
  • With structural heart disease, there is some sort of abnormal structure or defect that is disturbing the flow of blood, creating turbulence. (vcahospitals.com)
  • Echocardiography is considered the most reliable noninvasive test to establish the diagnosis, assess cardiac function, and exclude associated structural heart disease. (medscape.com)
  • Certain characteristics of the murmur may be considered red flags, prompting stronger consideration for structural heart disease. (nursingwritersbureau.com)
  • Depending on the grade, and configuration and association with structural heart disease, your dog's initial symptoms may only be apparent to your vet. (herandherdogs.com)
  • Deep Learning Algorithms to Detect Murmurs Associated With Structural Heart Disease. (cdc.gov)
  • A crescendo-decrescendo ejection murmur is characteristic. (msdmanuals.com)
  • Most murmurs are also characterized by their location or where they are the loudest. (vcahospitals.com)
  • The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. (nursingwritersbureau.com)
  • S2 is heard loudest at the base of the heart. (nursingjobsexam.com)
  • Echocardiography is not always needed to diagnose pediatric murmurs. (aafp.org)
  • One study 3 showed that direct referral for echocardiography was an expensive way to evaluate children with heart murmurs. (aafp.org)
  • Pediatric cardiology consultation was significantly less costly in that many innocent murmurs were diagnosed without echocardiography. (aafp.org)
  • Echocardiography is the most common test used in children to diagnose or rule out heart disease. (childrensnational.org)
  • Echocardiography is an ultrasound modality that uses sound waves to create images that assess heart function. (bluenethospitals.com)
  • A heart murmur may be asculted and echocardiography is recommended to exclude the possibility of a concurrent primary heart disease. (thecatclinic.com.au)
  • In these cases, classic murmurs may not be appreciated on physical exam, and valve disease is found solely by echocardiography/Doppler studies. (cdc.gov)
  • An atrial septal defect is often confused with a functional murmur, but the conditions can usually be differentiated based on specific physical findings. (aafp.org)
  • If there are concerning symptoms or physical findings that are not consistent with innocent murmurs. (childrensnational.org)
  • The presence of a palpable thyroid nodule is one of the cornerstones in securing a diagnosis of hyperthyroidism, but a functional hyperthyroid state must be confirmed on the basis of other characteristic physical findings, specifically tachycardia, an enlarged cardiac impulse, a systolic heart murmur or gallop rhythm, and documented weight loss (in the face of a good appetite). (vin.com)
  • Murmurs are of various types and are important in the detection of cardiac and valvular pathologies (i.e. can be a sign of heart diseases or defects). (wikipedia.org)
  • Defects may be due to narrowing of one or more valves (stenosis), backflow of blood, through a leaky valve (regurgitation), or the presence of abnormal passages through which blood flows in or near the heart. (wikipedia.org)
  • However, some rare defects may have no murmur, such as a reversed/balanced shunt. (bsavalibrary.com)
  • Heart defects and infectious, inflammatory or other disease processes are the cause of murmurs. (herandherdogs.com)
  • More commonly, however, the defects are nonrestrictive, and the patient presents with congestive heart failure. (medscape.com)
  • Yet, continuous murmurs create sound throughout both parts of the heartbeat. (wikipedia.org)
  • and continuous and to-and-fro murmurs occur throughout all or most of the cardiac cycle. (starbreeder.org)
  • There is a continuous left-to-right shunt of blood throughout systole and diastole, giving the characteristic waxing and waning continuous murmur, as aortic pressures exceed pulmonary artery pressures throughout the cardiac cycle. (bsavalibrary.com)
  • This approach should also help them know when they can confidently reassure the parents of a child with a functional murmur that referral is unnecessary. (aafp.org)
  • Endocarditis (mitral valve disease) is an inflammatory change of the tissues lining the heart chambers and valves and is a common cause of canine cardiac disease. (herandherdogs.com)
  • However, this examination must be performed on any child who has a heart murmur or historical features that indicate the presence of heart disease or abnormal cardiac function. (aafp.org)
  • A heart murmur is an abnormal heart sound, usually heard by listening to the heart with a stethoscope. (vcahospitals.com)
  • The abnormality in the heart may be a leaky heart valve, a thickening or narrowing of a valve or large blood vessel, or an abnormal hole between the heart chambers. (vcahospitals.com)
  • A heart murmur is one of several types of abnormal sounds your veterinarian can hear when listening to your pet's heart with a stethoscope. (northstarvets.com)
  • A murmur is an abnormal extra sound (which can sometimes drown out the normal sounds). (northstarvets.com)
  • During the physical examination, the doctor closely listens to the abnormal heart sounds with a stethoscope. (bluenethospitals.com)
  • The first indication of heart disease may be the discovery of an abnormal sound on auscultation. (nursingjobsexam.com)
  • A valvular prolapse is an abnormal protrusion of a heart valve that causes the valve to not close completely. (bartleby.com)
  • An innocent systolic flow murmur is audible, as well as the normal splitting of S2 on inspiration. (wikipedia.org)
  • Nonetheless, 61 percent of the murmurs referred for subspecialist evaluation were found to be functional, or innocent, murmurs. (aafp.org)
  • The investigators hypothesized that increased education of health care providers and parents might be helpful in alleviating unnecessary anxiety and reducing the number of patients with innocent murmurs who are referred for further evaluation. (aafp.org)
  • The focus is on helping physicians become even more confident about their ability to diagnose innocent murmurs and to decide which patients might benefit from pediatric cardiology referral. (aafp.org)
  • The patient has an innocent heart murmur which is a normal variation. (childrensnational.org)
  • The Seven "S" of Innocent Murmurs: (Bronzetti et al. (childrensnational.org)
  • What is an innocent or physiologic heart murmur? (vcahospitals.com)
  • An innocent or physiologic heart murmur is a heart murmur that has no impact on the cat's health. (vcahospitals.com)
  • One type of innocent heart murmur is often found in young growing kittens, particularly kittens that are growing rapidly. (vcahospitals.com)
  • The murmur may first appear at 6-8 weeks of age, and a kitten with an innocent heart murmur will usually outgrow it by about 4-5 months of age. (vcahospitals.com)
  • In general, a physiologic or innocent heart murmur will have a low intensity (usually Grade I-II ) and does not cause any symptoms or clinical signs. (vcahospitals.com)
  • These murmurs are often innocent and result from normal patterns of blood flow through the heart. (nursingwritersbureau.com)
  • By doing so this will help find the presence of an aortic regurgitation murmur. (wikipedia.org)
  • Auscultation of an individual with mitral stenosis reveals an opening snap after the S2 heart sounds, which is caused by the forceful opening of the mitral valve. (picmonic.com)
  • Hearing a murmur is only a hint that something may be wrong (a clinical sign), not a final diagnosis. (northstarvets.com)
  • Hearing a murmur is reason to consider more discussion and tests to determine the cause of the murmur (the diagnosis). (northstarvets.com)
  • Knowing the diagnosis and severity of the cause of the murmur allows your veterinarian (or a cardiologist they consult) to provide you with an educated guess (prognosis) regarding how this heart problem may affect your pet in the future. (northstarvets.com)
  • Family history is an important factor and can be helpful when diagnosis an older child with a murmur. (nursingwritersbureau.com)
  • A diagnosis of Lutembacher syndrome in heart failure with pulmonary hypertension was made. (panafrican-med-journal.com)
  • Prenatal diagnosis of hypoplastic left heart syndrome on ultrasound using artificial intelligence: How does performance compare to a current screening programme? (cdc.gov)
  • ACC Middle East & Eastern Mediterranean 2023 is designed to deliver an engaging forum to critically examine evidence-based strategies as well as contemporary best practices and clinical decision-making to reach our common objective of improving heart health of patients with cardiovascular disease. (acc.org)
  • LOCAL LEARNING designed to empower you to transform your community through topics such as Top Clinical Trials to Impact Your Practice, as well as the latest in electrophysiology, heart failure, interventional and structural, ischemic heart disease, multimodality imaging, prevention, and valvular heart disease. (acc.org)
  • Functional thyroid tissue may elaborate increased amounts of thyroxine (T4) and T3, producing clinical signs including a loud and fast heart, a prominent precordial impulse, a strong pulse, weight loss with good appetite, heat intolerance, behavioural changes and polydipsia/polyuria. (vin.com)
  • Demographic and clinical characteristics of the patients are given in Table 1. (who.int)
  • Second heart sound signifies the end of clinical systole and closure of semilunar valves. (nursingjobsexam.com)
  • Clinical signs of carditis include cardiomegaly, new onset heart murmur (usually with mitral or aortic valvular disease), pericardial friction rub, pericardial effusion, and congestive heart failure. (cdc.gov)
  • Heart common clinical presentation of cavernomas. (bvs.br)
  • However, rate regular with no murmurs or gallops and lungs were hemiparkinsonism is an extremely rare clinical mani clear. (bvs.br)
  • Murmurs can be crescendo, decrescendo or crescendo-decrescendo. (wikipedia.org)
  • Crescendo-decrescendo murmurs have both shapes over time. (wikipedia.org)
  • Crescendo-decrescendo murmurs resemble a diamond or kite shape. (wikipedia.org)
  • This will decrease the distance from wall of the chest to the apex of the heart. (wikipedia.org)
  • Mitral regurgitation (MR) is caused by the retrograde flow of blood from the left ventricle (LV) into the left atrium (LA) through the mitral valve (MV), causing a systolic murmur heard best at the apex of the heart with radiation to the left axilla. (nih.gov)
  • This 16-year-old male has a high-grade murmur, which can be heard at the apex of the heart, which could suggest MVR or MVP or aortic stenosis. (nursingwritersbureau.com)
  • It is heard best at the apex of the heart (apical area). (nursingjobsexam.com)
  • It is a serious disease that may cause or worsen joint problems, metabolic and digestive disorders, back pain and heart disease. (koprowskiveterinary.com)
  • The murmur is low-pitched and best heard with the bell of the stethoscope. (picmonic.com)
  • it is a specific sound detected when listening to the heart with a stethoscope. (herandherdogs.com)
  • Murmurs are extra heart vibrations that are produced as a result of a disturbance in the blood flow -- enough, in fact, to produce audible noise. (starbreeder.org)
  • Thus into 3 different forms: acute pericarditis, appropriate regimens for managing cardiac congestive heart failure and arrhythmia due conditions in thalassaemia major patients to haemosiderosis, and chronic anaemia still need further investigation. (who.int)
  • Congestive heart failure and low cardiac output can rapidly follow. (medscape.com)
  • Closure of the ductus results in severe hypoperfusion of the lower body, pulmonary overcirculation, and impending congestive heart failure. (medscape.com)
  • The specific characteristics of the murmur, along with any symptoms that your cat might be showing, will help your veterinarian to determine what is causing the murmur. (vcahospitals.com)
  • Загальні відомості про захворювання серцевих клапанів Any heart valve can become stenotic or insufficient (also termed regurgitant or incompetent), causing hemodynamic changes long before symptoms. (msdmanuals.com)
  • It is important to note that specific symptoms may vary depending on the underlying cause of the heart murmur. (bluenethospitals.com)
  • Usually, there will be signs and symptoms present with genetic murmurs in newborns and young children. (nursingwritersbureau.com)
  • Sometimes, in the older child, there will be a murmur present that does not cause symptoms or problems, but other times these asymptomatic murmurs can be deadly. (nursingwritersbureau.com)
  • Retrieved from https://www.mayoclinic.org/diseases-conditions/heart-murmurs/symptoms-causes/syc-20373171Stanford Children?s Health. (nursingwritersbureau.com)
  • Medication or surgery may be necessary if symptoms worsen or for severe heart conditions. (herandherdogs.com)
  • When you are of exercise that I also has an upper arm, irregular heart problems but drinking alcohol, and Pasta Refined sugars found in streams not well as other related diseases like stretching in 2020 and medical term Heart attacks and at all people who are many patients with honey each moment when your symptoms. (biscuiteriecherchell.com)
  • Mitral Valve Prolapse murmur at mitral area Heart sounds of a 16-year-old girl diagnosed with mitral valve prolapse and mitral regurgitation. (wikipedia.org)
  • Mitral Valve Prolapse murmur at tricuspid area Her heart sounds while holding her breath. (wikipedia.org)
  • Mitral Valve Prolapse murmur at tricuspid area after exercising Her heart sounds during recovery after running. (wikipedia.org)
  • Mitral stenosis is a valvular heart disease caused by narrowing of the opening of the mitral valve. (picmonic.com)
  • The four valves of the heart are the tricuspid valve, the pulmonic valve, the mitral valve, and the aortic valve. (bartleby.com)
  • Chapter 5 of the Rule states, "The first step of humility is obedience without delay, which is characteristic of those who cherish Christ above all else… not cringing, hesitating, or half-hearted, but free from any murmuring or resistance" (Sutera, 2021, p. 28). (shmon.org)
  • If during upcoming evaluations, the characteristics of the heart murmur changes, then please refer to cardiology. (childrensnational.org)
  • Learn at your leisure and sharpen your core cardiology skills with Heart Songs and ECG Drill & Practice. (acc.org)
  • A Grade VI murmur is very loud, heard everywhere that the heart can be heard, and can be felt when a person places their hand on the chest in the area of the heart. (vcahospitals.com)
  • A grade one murmur, for example, is subtle, and a grade six murmur is loud. (herandherdogs.com)
  • Cardiac catheterization is a procedure that can identify heart abnormalities. (bluenethospitals.com)
  • Understanding of the molecular and ionic mechanisms underlying cardiac conduction is essential for the appreciation of the pathogenesis of conduction abnormalities in structurally normal and altered hearts. (medscape.com)
  • Murmurs are also characterized by the time in which they occur during the heart cycle, and by whether they are long or short. (vcahospitals.com)
  • The vast majority of murmurs in the cat occur during systole, the phase of the heart cycle when the heart is contracting to pump blood out. (vcahospitals.com)
  • Murmurs most commonly occur between the "lub" and the "dub" and have a "shooshing" or "whooshing" quality. (northstarvets.com)
  • These murmurs are often seen in puppies, and can occur in cats of any age. (northstarvets.com)
  • Occur- rence of chest pain, palpitations, peripheral oedema, dyspnoea, heart sounds S3, S4 and systolic murmur were determined according to the patient's medical history and physical examination. (who.int)
  • Heart murmurs can occur in both dogs and cats. (herandherdogs.com)
  • Usually, only a trained cardiologist can identify a Grade 1 murmur. (northstarvets.com)
  • In these cases, the Cardiologist will need to perform tests to evaluate the functioning of the heart and the heart valves. (bluenethospitals.com)
  • If a murmur is detected, a thorough evaluation is needed.ScenarioIn this scenario, I would most likely have referred this patient out to a pediatric cardiologist. (nursingwritersbureau.com)
  • Many dogs and cats with murmurs live normal lives and never need any treatment for heart disease. (northstarvets.com)
  • What is a Heart Murmur in Dogs? (starbreeder.org)
  • Although it is scary to learn that your dog has a murmur or any other condition, we hope to share some information that proves that many dogs carry on without 'missing a beat. (herandherdogs.com)
  • Heart murmurs in dogs can develop at any stage of their life. (herandherdogs.com)
  • Dogs and cats with heart murmurs may show no signs and, as was the case with Reese, the murmur was first detected during a routine examination by her veterinarian. (herandherdogs.com)
  • Almost all cases of mitral stenosis are due to heart disease secondary to recurrent attacks of rheumatic fever. (picmonic.com)
  • Physiologic systolic flow murmur Heart sounds of a healthy 17 year old female. (wikipedia.org)
  • This type of physiologic murmur disappears when the heart rate is normal and has no impact on the cat's health. (vcahospitals.com)
  • Blood flows from the right side of the heart through the pulmonary artery to the lungs where it is oxygenated, and then the oxygenated blood goes through the left side of the heart and into the aorta, where it is pumped to the rest of the body. (vcahospitals.com)
  • One presentation was characterized by hypercalcemia plus persistent growth failure, characteristic facial appearance, "mental retardation," heart murmur, and hypertension, while the other was characterized by supravalvular aortic stenosis (narrowing of the ascending aorta above the aortic valve, involving the sinotubular junction) plus a distinctive facial appearance, "mental retardation," "friendly" personality, and growth retardation. (williams-syndrome.org)
  • Characteristic facial appearance. (rileychildrens.org)
  • Heart Murmurs in Pediatric Patients: When Do You Refer? (aafp.org)
  • 1 Most of these young patients do not have heart disease. (aafp.org)
  • Predicting 7-day unplanned readmission in elderly patients with coronary heart disease using machine learning. (cdc.gov)
  • Risk prediction of heart failure in patients with ischemic heart disease using network analytics and stacking ensemble learning. (cdc.gov)
  • Some normal adult cats may have an intermittent heart murmur that shows up when their heart rate is increased due to stress. (vcahospitals.com)
  • The pulmonic valve is located between the pulmonary arteries and the right ventricle and is responsible for allowing blood flow from the heart to the lungs. (bartleby.com)
  • The heart is composed of four chambers - the left atrium, the left ventricle, the right atrium, and the right ventricle. (vcahospitals.com)
  • Coronary sinus, normally located between the LEFT ATRIUM and LEFT VENTRICLE on the posterior surface of the heart, can serve as an anatomical reference for cardiac procedures. (bvsalud.org)
  • Heart murmurs are unique heart sounds produced when blood flows across a heart valve or blood vessel. (wikipedia.org)
  • Between each of the chambers and main blood vessels, there is a valve that functions to prevent blood from flowing back into the chamber as the heart pumps. (vcahospitals.com)
  • The murmur occurs in diastole because the stenotic valve impedes the filling of the left ventricle during diastole. (picmonic.com)
  • These murmurs are divided into two categories: ejection murmurs, caused by blood flow through a narrowed or irregular artery or valve, and regurgitation murmurs, where the blood flow goes back into one of the heart's chambers. (bluenethospitals.com)
  • The effects of Dilated Cardiomyopathy vary in seriousness depending on the degree of heart muscle weakness and dilation. (congenital.org)
  • The murmur is typically enhanced by expiration, due to increase in venous return from the pulmonary veins to the left heart. (picmonic.com)
  • Organ systems involved typically include the heart, joints, and central nervous system. (cdc.gov)