Auscultation in Primary Care

Mitral Regurgitation (pansystolic Murmur)

This is an example of a pansystolic murmur usually associated with mitral regurgitation.

The first and second heart sounds are normal.

A mid-frequency rectangular murmur fills all of systole.

In the anatomy tab you can see the enlarged left ventricle and left atrium and turbulent flow from the left ventricle into the left atrium which creates the murmur.

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Position: Mitral
Chestpiece: Diaphragm

Maneuver: Supine

Phonocardiogram

Heart Animation

Table of Contents

1	First and Second Heart Sounds - Normal and Unsplit
2	First and Second Heart Sounds - Reduced Intensity
3	Second Heart Sound - Splitting
4	Third Heart Sound Gallop
5	Fourth Heart Sound Gallop
6	Third and Fourth Heart Sound Gallop
7	Summation Gallop at 120 beats per minute
8	Second Heart Sound - Fixed Splitting
9	Mid-Systolic Click
10	Mitral Valve Leaflet Prolapse
11	Aortic Stenosis (Diamond Shaped Systolic Murmur)
12	Aortic Regurgitation (Decrescendo Diastolic Murmur)
13	Mitral Regurgitation (pansystolic Murmur)
14	Mitral Stenosis (Diastolic Murmur)

Practice Drill