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. play pause Position: Mitral Chestpiece: Diaphragm Maneuver: Supine Phonocardiogram Cardiac Animation Table of Contents 1First and Second Heart Sounds - Normal and Unsplit 2First and Second Heart Sounds - Reduced Intensity 3Second Heart Sound - Splitting 4Third Heart Sound Gallop 5Fourth Heart Sound Gallop 6Third and Fourth Heart Sound Gallop 7Summation Gallop at 120 beats per minute 8Second Heart Sound - Fixed Splitting 9Mid-Systolic Click 10Mitral Valve Leaflet Prolapse 11Aortic Stenosis (Diamond Shaped Systolic Murmur) 12Aortic Regurgitation (Decrescendo Diastolic Murmur) 13Mitral Regurgitation (pansystolic Murmur) 14Mitral Stenosis (Diastolic Murmur) Practice Drill