Innocent Murmur | Auscultation #11 | Lesson with Audio

Where to Auscultate

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was supine during auscultation.

Description

What is an innocent murmur sound? This is an example of an innocent murmur. This type of murmur is seen with non-cardiac conditions such as pregnancy, hyperthyroidism, exercise and anemia. When these are treated appropriately, the systolic murmur disappears. The murmur is heard in early systole, is of short duration and has a frequency range of 120Hz to 250Hz. It is best auscultated in the pulmonic area and increases in intensity with inspiration. It can be heard with either the bell or diaphragm. In this example S1 and S2 are normal. Diastole is silent. The short duration and mid-range frequency characterize an innocent murmur.

Phonocardiogram

Anatomy

Innocent Murmur


Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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