A 26-year-old female asked:

Echo. pulm valve not visualized. not mentioned on doppler either. everything else normal.called normal echo. how do they know i have innocent murmur?

2 doctor answers2 doctors weighed in
Dr. Elden Rand
Cardiology 23 years experience
Pulmonic Valve: In adults, the pulmonic valve is frequently not well visualized. Doppler analysis are used to assess for any pulmonic regurgitation or any pulmonic stenosis. Pulmonic stenosis is rare in adults. Pulmonic regurgitation is common (to a mild degree) in many adults. If pr is significant, the size of the right ventricle would be expected to increase. Accredited echo lab should comment on the valve.
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Dr. Joseph Moore
Internal Medicine - Cardiology 36 years experience
Murmur: Murmurs are caused by turbulent blood flow through the heart. This can be from a leaking or narrowed (stenosed) valve or by the sharp angle of the main pulmonary artery. It is very common for the pulmonary valve to be poorly seen on echo. If there are no significant valve problems on echo, you have an innocent flow murmur. These can be detected in over 30% of young people.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 28, 2016


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