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70-year-old man in doctor’s office for annual exam


A 70-year-old man presents to his doctor's office for routine follow-up examination. No history of chest pain, heart failure or fainting episodes. Patient has a heart murmur first noted in his early 50s.

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 Sources

Authors and Reviewers


70-year-old man in doctor’s office for annual exam

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