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Pulmonic Regurgitation - Mild

Pulmonic Regurgitation - Mild

This is an example of mild pulmonic regurgitation which can be caused by an infection of the pulmonic valve leaflets. The first and second heart sounds are normal (S2 is split). Systole is silent. A high-pitched decrescendo murmur occupying the first half of diastole can be heard starting immediately after the second heart sound. The murmur is best heard at the pulmonic area and can be accentuated by having the patient sitting up and leaning forward. The intensity of the murmur increases with inspiration, indicating the right-sided origin of the murmur. In the animation you can see the turbulent blood flow from the pulmonary artery into the right ventricle during early diastole. You can see the minimally thickened pulmonic valve leaflets.


Auscultation Sounds

auscultation sound from lesson
waveform





Position

Patient position
The patient's position should be sitting leaning forward.

Listening Tips

S2:Split
Diastole:high-pitch, decrescendo murmur, increases with inspiration


Waveform (Phonocardiogram)

Observe

//embedding heart animation

Authors

These authors contributed the audio recordings and text found in this reference guide: Jon Keroes, MD,Diane Wrigley, PA, and David Lieberman.
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.



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