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Doctor insights on: Treatment Of Holosystolic Murmur

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What is a holosystolic murmur?

What is a holosystolic murmur?

Holosystolic: A holosystolic murmur starts with the first heart sound and continues through the second heart sound. Typically these are caused by AV valve insufficiency or ventricular septal defects, they can also occur with aortopulmonary shunts. Arteriovenous fistulas have continuous murmurs associated but we call them bruits. ...Read more

Dr. Barton Cook
413 doctors shared insights

Heart Murmur (Definition)

A heart murmur is a sound heard by a stethoscope made by the vibration of blood flow. It can be a normal finding in young healthy people, or can represent abnormal leakage (regurgitation) of a valve, valve narrowing (stenosis), or a congenital condition such as an atrial septal defect, a ventricular septal defect, ...Read more


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Can a holosystolic murmur be functional- innocent if echocardiogram is normal?

Can a holosystolic murmur be functional- innocent if echocardiogram is normal?

No: Holosystolic murmurs are not normal. If the echocardiogram is read as normal, either you don't have a holosystolic murmur, or the echocardiogram missed the abnormality causing the murmur. If the echocardiogram is truly normal, it is morst likely that you have a systoli ejection murmur, not a holostysolic murmur. Innocent, or normal heart murmurs, are typically systolic ejection murmurs. ...Read more

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Why does a partial or full avsd cause a holosystolic murmur? Is it because associated valve regurgitation? Thanks.

Typically: Iin an avsd, there will typically be a systolic ejection murmur from increased flow across the pulmonary valve related to pulmonary overcirculation. The vsd shunting will often be low velocity and not produce an audible murmur, so any holosystolic murmur would usually derive from av valve regurgitation, a common problem in this defect. ...Read more

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I have read that only 3 things cause a holosystolic murmur. Tricuspid regurg, mitral regurg, and ventricular septal defect. Are these the only 3?

I have read that only 3 things cause a holosystolic murmur. Tricuspid regurg, mitral regurg, and ventricular septal defect. Are these the only 3?

Essentially: Technically an lv to RA shunt would also generate a holosystolic murmur. In some ways this could be considered a combination of a vsd and tr, although there is actually a distinct entity involving the atrioventricular septum. (also, from a practical standpoint, it can sometimes be difficult to distinguish a long systolic ejection murmur from a holosystolic murmur.). ...Read more

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What disease is caused by holosystolic murmurs?

Murmurs: Holosystolic murmurs are heart sounds associated with insufficiency of the atrioventricular valves and ventricular septal defects. There are other possible holosystolic murmurs but these are the bulk of them. The murmur is purely sound and causes no problem. The physiologic problem causing the sounds is what causes the problem. ...Read more

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What disease is caused by holosystolic murmurs?

What disease is caused by holosystolic murmurs?

Murmurs: Holosystolic murmurs are heart sounds associated with insufficiency of the atrioventricular valves and ventricular septal defects. There are other possible holosystolic murmurs but these are the bulk of them. The murmur is purely sound and causes no problem. The physiologic problem causing the sounds is what causes the problem. ...Read more

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

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. ...Read more

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What are holosystolic murmurs?

Sounds...: Classically, a vsd results in increased blood flow from left to right ventricle due to pressure differences and results in a holosystolic murmur. This means that the murmur begins with the av valves closing and ends with the aortic/pulmonic valves closing (phase known as systole). ...Read more

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What medications can treat a pansystolic murmur?

What medications can treat a pansystolic murmur?

Murmur: Heart murmur is noise caused by turbulent blood flow in and around the heart. In timing there are systolic, diastolic and continuous murmurs. By cause there are too many to enumerate here. More information is needed to discuss physiology and treatment ...Read more

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What kind of doctor can diagnose a pansystolic murmur?

Any: This just requires a stethoscope and knowledge of what you are listening to. Cardiologists, or heart specialists, would be expected to be more expert at diagnosing cardiac murmurs. ...Read more

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What is the treatment for murmur in seven month old baby?

What is the treatment for murmur in seven month old baby?

Get an Echo!: First, the cause of the murmur needs to be identified. A young child with a murmur could mean absolutely nothing, or could indicate a structural pathology within the heart. Many children have innocent or benign murmurs. On the other hand, in a small subset of patients, a systolic murmur could signify a heart defect. Depending on the defect, the treatment options vary from nothing to surgery. ...Read more

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My child has a systolic mild ejection murmur. How serious is this and does he need any treatment?

My child has a systolic mild ejection murmur.  How serious is this and does he need any treatment?

Discuss with doc: If i listen to a kid often enough as they grow up i will eventually hear a murmur in most. Mild systolic ejection murmurs are often just flow related, like the noise water makes in a babbling brook .Flow thru slightly narrow pulmonary arteries are frequent a cause of systolic murmurs. Clarify with your dr whether the murmur means anything. Most murmur"bad" is addressed at birth. ...Read more

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What is the treatment of rheumatic murmur and if person go for surgery how many chances are there to have a successful surgery?

Need more info: Rheumatic murmur is too broad a topic. An echocardiogram and clinical evaluation are neeed along with symptoms and age. That said, surgery is generally very successful when needed. Generally these can be followed and are not an issu, but over time, ie, years and decades they can be an issue. ...Read more

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What are treatment options for a heart murmur?

What are treatment options for a heart murmur?

Murmur: Heart murmur is just noise. If the noise is caused by a significant heart blood flow problem, that is what you need to know. Ask your doc what is going on. ...Read more

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My mom was just told she has a neck murmur. What is a neck murmur? What are the causes, symptoms, and treatment options?

Neck murmur: A neck murmur is a noice heard with a stethoscope in the neck area due to blood flow in a narrowed vessel. It is most often due to a plaque on the vessel wall due to atherosclerosis. Rarely, a neck murmur can be due to issue with the heart and the sound is only transmitted into the neck region. ...Read more

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What is the treatment for a heart murmur? Surgery?

What is the treatment for a heart murmur? Surgery?

Murmur: Heart murmur is just noise. If the noise is caused by a significant heart blood flow problem, that is what you need to know. Ask your doc what is going on. ...Read more

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How bad is a heart murmur? How important is treatment or going to the doctor for it?

How bad is a heart murmur? 
How important is  treatment or going to the doctor for it?

Murmur Common: Many are Benign, some are not. You need a Cardiologist to listen, you may need a sonogram of UR heart (echocardiogram) - simple test. The echo is best way to follow a murmur that is not currently important but could become important in later years. ...Read more

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I have a heart murmur and a small artery and am experiencing problems. What can I do for treatment?

I have a heart murmur and a small artery and am experiencing problems. What can I do for treatment?

See below: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more

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My son was recently at the doctors for being sick they said that he has a murmur? Why didn't they diagnose it at birth? He's 19months old now

My son was recently at the doctors for being sick they said that he has a murmur? Why didn't they diagnose it at birth? He's 19months old now

Heart Changes: When a child is sick their heart has to pump a little bit harder, and the way blood flows changes in small ways. It's not unusual to hear a murmur when a child is sick because there's just more blood flow in the heart. Sometimes this can reveal a heart abnormality or it's just the "whooshing" sound of extra bloodflow. Please follow up with your doctor couple weeks. ...Read more

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