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Time Condition Description Early diastolic Aortic regurgitation: The murmur is low intensity, high-pitched, best heard over the left sternal border or over the right second intercostal space, especially if the patient leans forward and holds breath in full expiration.
Aortic valve regurgitation will present as a diastolic decrescendo murmur. One can hear it at the left lower sternal border. One may also hear it at the right lower sternal border (when associated with a dilated aorta). Other possible exam findings are bounding carotid and peripheral pulses.
The murmur of chronic aortic regurgitation is typically described as early diastolic and decrescendo, which is best heard in the third left intercostal space and may radiate along the left sternal border.
A Graham Steell murmur is a heart murmur typically associated with pulmonary regurgitation. [1] [2] It is a high pitched early diastolic murmur heard best at the left sternal edge in the second intercostal space with the patient in full inspiration, originally described in 1888. [citation needed]
The Graham Steell murmur of pulmonary regurgitation, a high-pitched, diastolic, decrescendo blowing murmur along the left sternal border, results from dilation of the pulmonary valve ring and occurs in patients with mitral valve disease and severe pulmonary hypertension.
A right-sided S3 is best heard at the lower left sternal border. The way to distinguish between left and right-sided S3 is to observe whether it increases in intensity with inhalation or exhalation. A right-sided S3 will increase on inhalation, while a left-sided S3 will increase on exhalation. [1]
A mild diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. It is best heard over the left sternal border with rumbling character and tricuspid opening snap with wide-splitting S2.
A Cabot–Locke murmur [1] is an early diastolic heart murmur, occasionally heard in severe untreated anemia, without heart valve abnormalities. [2] It is detected infrequently, is best heard at the left sternal border, and sounds similar to aortic insufficiency, although it is without decrescendo.