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85-year-old man with recent onset of shortness of breath with exertion

History

85-year-old man is seen in doctor's office due to recent onset of shortness of breath with exertion. No history of chest pain, palpitations or fainting episodes.

Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.

carotid bruit patient history image


Auscultation Tips

Significant independent predictors of the presence of a confirmed cardiac lesion:

  • A loud murmur of intensity 3 or greater.
  • Best heard at the pulmonic location (2LICS).
  • Harsh sound.
  • Pansystolic murmur.
  • Systolic click.
  • Abnormal second heart sound - fixed splitting during respiration.

Authors and Reviewers

Authored by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient. Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/29/2021

85-year-old man with recent onset of shortness of breath with exertion


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