"Aortic regurgitation is the diastolic murmur
you want to listen for.
The typical diastolic murmur
of AR is shortened in duration, often difficult to heard, easily missed and peripheral signs are frequently absent.
A Grade IV/VI systolic murmur at the cardiac apex with radiation to left armpit, a Grade IV/VI systolic murmur in the second right intercostal space with radiation to carotid artery, and a diastolic murmur
in the third left intercostal space was heard.
A low pitched localised mid diastolic murmur
of grade IV was audible at apical region.
A diastolic murmur
was revealed in physical examinations, so she was referred to our clinic for echocardiography.
Mean Percentage Score by Clinical Scenario Harvey Clinical Scenarios Pretest Post-test Normal (extra heart sounds - S3, S4) Aortic 49% 100% Pulmonary 8% 89% Tricuspid 10% 72% Mitral 8% 82% Systolic Murmur (innocent murmur, mitral prolapse) Aortic 44% 100% Pulmonary 1% 89% Tricuspid 6% 64% Mitral 35% 96% Diastolic Murmur
(chronic AR and acute AR) Aortic 31% 100% Pulmonary 3% 81% Tricuspid 6% 76% Mitral 46% 93% Overall Percentage Scores Aortic 41% 100% Pulmonary 4% 86% Tricuspid 7% 71% Mitral 30% 90% Note.