Term
| early systolic ejection click, RUSB, radiates to R clavicle and carotid, high pitch, loud, crescendo-decrescendo, MC murmur in elderly, hand grip decreased, narrow pulse pressure, systolic thrill |
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Definition
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Term
| mid-systolic, LUSB, radiates to neck, harsh, crescendo-decresenco, increases with inspiration, wide S2 split, longer the murmur, more severe the stenosis |
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Definition
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Term
| holosystolic, locatated at apex/mitral, radiates to back or axilla, high freq pitch, blowing S3 gallop, hand grip increases, squatting increaes, could be descrescendo in acute |
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Definition
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Term
| mid to late systolic click, heard best at apex. Early onset of click with abrupt standing |
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Definition
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Term
| holosystolic, heard best at tricuspid, LSB. high-pitched, blowing, increased with squatting and inspiration. Decreased with standing and valsalva |
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Definition
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Term
| early systolic, heard best at 2nd, 3rd ICS. med-high freq. Flow murmur. Widely split S2 |
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Definition
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Term
| holosystolic murmur heard best at LSB. Med-high freq |
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Definition
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Term
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Definition
| ventricle contraction, mitral and tricuspid valves close, best heard at apex,area with diaphragm |
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Term
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Definition
| aortic contraction, closure of aortic and pulmonic valves, best heard over pulm area |
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Term
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Definition
assoc with volume overload
nl variant in children, preggo, anemia
CHF, regurg:MR,TR
best heard at apex with bell |
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Term
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Definition
assoc with pressure overload
best heard at apex with bell
always pathologic
stiff ventricle
chronic HTN, LVH, ischemia/infarction |
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Term
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Definition
caused from congenital or calcific, hyperlipidemia, smoking, rheumatic
-syncope, angina, dyspnea, exertional angina, syncope, |
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Term
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Definition
murmur, narrow pulse pressure,pulsus parvus et tardus (delayed and diminished carotid upstroke), prolonged PMI, S4 gallop
EKG: LVH, LBBB, LAE, AF |
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Term
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Definition
avoid exertion, tx HTN,
class III valve replacements
avoid nitrates, acei, vasodilators |
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Term
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Definition
| mvp, congenital, LV dilation from CHF, dilated cardiomyopathy, myocarditis, infective endocarditis, marfans, HOCM, acute MI from papillary dysfunction |
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Term
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Definition
| dyspnea, orthopnea, palpitations, peripheral edema |
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Term
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Definition
displaced hyperdynamic apical impulse, apical thrill
Soft S1, S3
ireeg ireeg rhythm of a fib
jvd
EKG:prolong P wave, LAE, LVH, a fib
CXR L atrial and ventric enlarge. increased pulm markings |
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Term
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Definition
| serial echos, diuretics, acei, nitrates, surg |
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Term
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Definition
thick leaflets, marfans, connective tissue dz, CAD, rheumatic heart dz, or cardiomyopathies
mostly female |
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Term
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Definition
| prolonged stabbing CP, dyspnea, anxiety, palpitations, fatigue, presyncope, dizziness, L precordial CP, panic attacks |
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Term
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Definition
| low bp and orthostases, scoliosis, pectus excavatum, straight thoracic spine |
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Term
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Definition
| education and bb if refractory |
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