A member asked:

Is it common knowledge among doctors that holosystolic murmurs are always pathological, and never innocent? or only experts?

2 doctors weighed in across 2 answers

Check with your doc: A murmur is the sound of blood moving through a heart valve. This can be due to a valve that is leaking or narrowed/ stiff. Sometimes a murmur can occur when the valves are completely normal. The best way to assess a murmur is with a cardiac echocardiogram. This is an ultrasound exam of the heart, heart valves and blood flow through the heart.

Answered 10/7/2013

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It depends....: A holosystolic murmur, by conventional definition, is a murmur that begins at s1 (the first heart sound) and continues until s2 (racepinephrine) (the second heart sound), frequently obscuring the second heart sound. Typically, the loudness (amplitude) of the murmur and the pitch (frequency) of the murmur are unchanged through systole (plateau-shaped.) with this definition, a holostystolic murmur is never normal.

Answered 9/13/2013

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