Table 27.1Diastolic Murmurs

  1. Aortic regurgitation
  2. Pulmonary valve regurgitation
  3. Mitral rumble
    1. Obstruction to flow
      1. Mitral stenosis (rheumatic, congenital)
      2. Left atrial myxoma
      3. Cor triatriatum
      4. Localized pericardial constriction
    2. Increased flow
      1. Mitral regurgitation
      2. Ventricular septal defect
      3. Patent ductus arteriousus
      4. Complete heart block
  4. Tricuspid rumble
    1. Obstruction to flow
      1. Tricuspid stenosis (rheumatic, Ebstein's anomoly, carinoid)
      2. Right atrial myxoma
      3. Localized pericardial constriction
    2. Increased flow
      1. Atrial septal defect
      2. Tricuspid regurgitation

From: Chapter 27, Diastolic Murmurs

Cover of Clinical Methods
Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.
Walker HK, Hall WD, Hurst JW, editors.
Boston: Butterworths; 1990.
Copyright © 1990, Butterworth Publishers, a division of Reed Publishing.

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