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Medicine

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Cardiology

Question
13 out of 13
 

Which of the following murmur increases with Valsalva? (AIPG 2008, Repeat AIIMS Nov 2009, LQ)



A HOCM
B VSD

C AS
D MS

Ans. A

HOCM

Dynamic Auscultation - Effects of physiological interventions on murmurs-

1. Effect of breathing

2. Right sided murmurs/sounds –increase during inspiration except pulmonary ejection click which decrease during inspiration. Q

3. Left sided murmurs/sounds –increase during expiration.

Extra Edge: Pulmonary ejection click is the only right side event that increases on expiration. (MCQ) Q

1. Valsalva maneuver - most murmurs decrease in length and intensity except murmur of HOCM and MVP. Q

2. Positional changes

a. With standing most murmurs decrease except HOCM and MVP. Q

b. With squatting most murmurs increase except HOCM and MVP.

Cardiology Flashcard List

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