The typical murmur is a harsh late peaking crescendo-decrescendo (diamond shaped) systolic
ejection murmur, loudest at the right upper sternal border that radiates to the neck.
You hear a suprasternal notch thrill, an apical click, and a 3/6
ejection murmur at the right upper sternal border.
This position typically causes a systolic
ejection murmur (a common benign finding in athletes) to become less prominent, whereas it intensifies the murmur of hypertrophic cardiomyopathy, a rare condition that is considered a predisposing factor in sudden death during athletic activities.
Physical exam was unremarkable except for a systolic
ejection murmur that was graded II/VI at the base.