Question 1

when doctor said he heard an "opening snap", is it a systolic or diastolic murmur? never heard before. echo: trivial tricuspid reg, with tvg of 11mmhg

Accepted Answer

Diastolic: thats usually reserved to describe  mitral stenosis due to a rheumatic mitral valve

Question 2

what is a diastolic murmur ?

Accepted Answer

Turbulent blood flow: A murmur is a sound that is heard when blood flow is turbulent. Normal blood flow is like a lazy flowing and quiet river. When there is obstruction, the flow becomes turbulent.This is much like when there are rapids in a river and you can hear the sounds. When the sound is heard over the heart, it is called a murmur.When it occurs during diastole, when the ventricles fill with blood it's diastolic.

Question 3

what is diastolic murmur like?

Accepted Answer

Murmurs...: A diastolic murmur just means a sound heard during the diastolic filling phase of the pumping chambers of the heart. For example, mitral stenosis causes a diastolic murmur as blood flows from la to lv during diastole. Aortic regurgitation is a diastolic murmur as blood leaks back through the aortic valve.

Question 4

is there diastolic murmur in pulmonal stenosis?

Accepted Answer

Pulmonary stenosis: The pulmonary valve opens when the right ventricle contracts. This is during systole. So, if there is pulmonary stenosis, the murmur would be observed during systole. If the valve would be leaking, however, that would be heard when the valve is supposed to be closed or during diastole...

Question 5

why can we hear better the diastolic murmur in expiration?

Accepted Answer

Proximity: In expiration less air is in the lungs moving the heart and great vessels closer to the chest wall and therefore the stethoscope. This makes the murmurs louder and easier to hear.

Question 6

how come we got diastolic murmur in pulmonic stenosis?

Accepted Answer

Irrelevant: Systolic/diastolic irrelevant. Degree of pulmonic stenosis determined on echo and cardiac cath. Depending on severity, corrective intervention warranted.

Question 7

a 60y.o. female complaining of dyspnea and arrythmia with diastolic murmur, what are the possibilities?

Accepted Answer

Valvular heart disea: In a female particularly if not born  in  the  us a cardiac arrhythmia particularly atrial fib associated with a diastolic murmur suggest mitral stenosis . Non af  and diastolic murmur  suggest aortic insufficiency which still may be due to rheumatic heart disease . Physical examination  is diagnostic and 2d echo is confirmatory.

Question 8

diastolic murmur go with aortic regurgitation?

Accepted Answer

Yes: A diastolic decreshendo high pitched murmur heard best leaning forward with the stethoscope over the lower sternum suggest aortic regurgitation, although further evaluation will be necessary.

Question 9

diastolic murmur aortic regurgitation. is this bad?

Accepted Answer

Yes: How bad depends on regurgitant fraction, left ventricular dimension, ejection fraction, pulmonary pressures. Echocardiogram and cardiac cath. Needed to assess for correction.

Question 10

does a ?ventricular septal defect cause a diastolic murmur?

Accepted Answer

No u: No usually classic murmur is pansystolic (all the way through systole but stops with the second heart sound).

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Doctor answers about:

Systolic vs diastolic murmur

A member asked:

When doctor said he heard an "opening snap", is it a systolic or diastolic murmur? never heard before. echo: trivial tricuspid reg, with tvg of 11mmhg

A member asked:

What is a diastolic murmur ?

A member asked:

What is diastolic murmur like?

A member asked:

Is there diastolic murmur in pulmonal stenosis?

A member asked:

Why can we hear better the diastolic murmur in expiration?

A member asked:

How come we got diastolic murmur in pulmonic stenosis?

A member asked:

A 60y.o. female complaining of dyspnea and arrythmia with diastolic murmur, what are the possibilities?

A member asked:

Diastolic murmur go with aortic regurgitation?

A member asked:

Diastolic murmur aortic regurgitation. is this bad?

A member asked:

Does a ?ventricular septal defect cause a diastolic murmur?

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