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7 Cards in this Set

  • Front
  • Back
holosystolic murmur w/thrill? Left sternal border
VSD
systolic ejection murmur accentuated by standing?
hypertrophic obstructive cardiomyopathy

venous return is reduced, decreasing LV EDV & SV, increasing systolic ejection murmur (this wouldn't occur w/aortic stenosis presumably?)
early diastolic decrescendo murmur decreased by amyl nitrite?
aortic regurgitation
late diastolic murmur eliminated by atrial fibrillation?
mitral and/or tricuspid stenosis
wide and fixed (does not vary w/respiration) splitting of S2?
atrial septal defect
maneuver to distinguish between aortic stenosis and hypertrophic obstructive cardiomyopathy?
systolic ejection murmur in both

standing will increase hypertrophic obstructive cardiomyopathy click
how do distinguish between the diastolic murmurs of mitral stenosis and LV hypertrophy?
mitral stenosis - opening snap in EARLY diastole
LV hypertrophy - late diastole (pre-systolic), when atria is contracting against suddenly elevated Edpressure caused by poor filling of ventricle with decreased compliance