![]() ![]() Wolters Kluwer Health/Lippincott Williams & Wilkins 2013. Bates’ Guide to Physical Examination and History-Taking. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. For additional information visit Linking to and Using Content from MedlinePlus.Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. ![]() is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Multiple murmurs may result from a combination of heart problems.Ĭhildren often have murmurs as a normal part of development. Anomalous pulmonary venous return (an abnormal formation of the pulmonary veins).Significant murmurs in children are more likely to be caused by: Problems of the tricuspid valve ( tricuspid regurgitation, tricuspid stenosis).Pulmonary regurgitation (backflow of blood into the right ventricle, caused by failure of the pulmonary valve to close completely).Problems of the mitral valve ( chronic or acute mitral regurgitation, mitral stenosis).Problems of the aortic valve ( aortic regurgitation, aortic stenosis). ![]() Other heart murmurs may indicate an abnormality in the heart. ![]() They will not cause any symptoms or problems. These types of murmurs are called innocent murmurs. Can it be heard in other parts of the chest, on the back, or in the neck?.Does the murmur occur when the heart is resting or contracting?.Things the provider will look for in the exam include: This is called a "thrill" and means the murmur is grade 4 or higher. When a murmur is more noticeable, the provider may be able to feel it with the palm of the hand over the heart. (Systole is when the heart is squeezing out blood and diastole is when it is filling up with blood.) A heart murmur may be described as systolic or diastolic. In addition, a murmur is described by the stage of the heartbeat when the murmur is heard.An example of a murmur description is a "grade II/VI murmur." (This means the murmur is grade 2 on a scale of 1 to 6). Murmurs are classified ("graded") depending on how loud the murmur sounds with a stethoscope.There are several ways in which your health care provider may describe a murmur: When blood flows through a narrowed or stiff heart valve (stenosis).When a valve does not close tightly and blood leaks backward (regurgitation).Murmurs can happen for many reasons, such as: ![]()
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