Arrhythmogenic RV Dysplasia - Auscultation

This is an example of Arrhythmogenic RV Dysplasia heard at the tricuspid area. This is a familial abnormality which is associated with replacement of the right ventricle with fibro-fatty tissue. In this condition there is marked enlargement of the right ventricle with decreased vigor of contraction. The first and second heart sounds are normal. There is a pansystolic rectangular murmur caused by regurgitant turbulent flow from the right ventricle into the right ventricle.

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The patient's position should be supine.

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