Auscultation Training by Repetition Aortic Sclerosis (Musical Murmur) play pause Listen for 2-3 minutes Supine Diaphragm Listening Tips Systole: Diamond shaped, musical murmur, early systole. Often loud. Repetition Training - Intermediate Heart Sounds Table of Contents 1Aortic Sclerosis (Musical Murmur)88 2Atrial Septal Defect110 3Cardiomyopathy - Congestive Moderate10 4Ebstein's Anomaly117 5Hypertrophic Cardiomyopathy93 6Mid-Systolic Click121 7First Heart Sound plus Aortic Ejection Click43 Previous Lesson Next Lesson Lesson Text This is a loud murmur early in systole. It has a diamond shaped appearance when viewed on the Waveform tab.The murmur is characterized by regular vibrations which give the murmur a musical quality ("cooing"). It is caused by turbulent blood flow into the aorta.S1 and S2 are normal. Diastole is silent. Comments on this beta version will be welcomed. Send to: comments@easyauscultation.com soundID66 maneuverSupine Title Aortic Sclerosis (Musical Murmur) PositionAortic realSoundID caseID88 S1 SystoleDiamond shaped, musical murmur, early systole. Often loud S2 Diastole features lungsoundsFalse chestpieceDiaphragm