Changes

|+ Cardiac Murmur Descriptions and Maneuvers

|+ Cardiac Murmur Descriptions and Maneuvers

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! Murmur !! Description !! Location !! Flow Problem !! Relation to Preload !! Relation to Afterload

! Murmur !! Cardiac Phase !! Description !! Location !! Flow Problem !! Relation to Preload !! Relation to Afterload

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| AR || Diastolic || Mitral || Reverse || 0 || +1

| AR || Diastolic || ? || Mitral || Reverse || 0 || +1

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| AS || Systolic || Aortic || Forward || +1 || -1

| AS || Systolic || ? || Aortic || Forward || +1 || -1

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| MR || Systolic || Aortic || Reverse || 0 || +1

| MR || Systolic || ? || Aortic || Reverse || 0 || +1

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| MS || Diastolic, Blowing || Mitral || Forward || 0 || 0

| MS || Diastolic || Blowing || Mitral || Forward || 0 || 0

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| MP || Systolic, Click || Aortic || Reverse || -1 || -1

| MP || Systolic || Preceding Click || Aortic || Reverse || -1 || -1

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| TR || Systolic || Tricuspid || Reverse || +1 || 0

| TR || Systolic || ? || Tricuspid || Reverse || +1 || 0

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| HOCM || Systolic || Tricuspid || Forward || -1 || -1

| HOCM || Systolic || ? || Tricuspid || Forward || -1 || -1

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* Maneuvers increase afterload (hand grip, standing, valsalva), preload (passive leg raise, squatting, lying down), or both (vagal).

* Maneuvers increase afterload (hand grip, standing, valsalva), preload (passive leg raise, squatting, lying down), or both (vagal).