Mitral Regurgitation 643 Lesson

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was supine during auscultation.

Description

On this page, we present an example of a pansystolic murmur usually associated with mitral regurgitation.

The murmur is a mid-frequency, rectangular murmur taking up all of systole. S1 is normal. S2 is single. There is a third heart sound gallop in diastole. Both the left ventricle and the left atrium are enlarged. The murmur is caused by turbulent flow through the incompetent mitral valve leaflets into the left atrium.

In the anatomy video, observe the enlarged left ventricle and left atrium and turbulent flow from the left ventricle into the left atrium, creating the murmur.

Phonocardiogram

Anatomy

Mitral Regurgitation 643

In the cardiac animation, you can see the enlarged left ventricle and left atrium and turbulent flow from the left ventricle into the left atrium which creates the murmur.
Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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