Asked by: Celenia Shubha
medical health heart and cardiovascular diseases

Where does aortic stenosis murmur radiate to?

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Radiation. While murmurs are usually most intense at one specific listening post, they often radiate to other listening posts or areas of the body. For example, the murmur of aortic stenosis frequently radiates to the carotid arteries and the murmur of mitral regurgitation radiates to the left axillary region.


Similarly, where does aortic stenosis radiate?

Aortic Stenosis The peaking of the murmur moves toward S2 as the valve area narrows. Classically, the aortic stenosis murmur is heard best at the right upper sternal border (where it is harsh and noisy). It radiates to the right supraclavicular area.

Additionally, does aortic stenosis cause a murmur? In Severe Aortic Stenosis there is a diamond shaped systolic murmur which lasts throughout systole. The murmur is loud and higher pitched than the murmur of mild aortic stenosis. It is caused by calcification of the aortic valve leaflets.

Additionally, why does aortic stenosis radiate to the carotids?

Aortic stenosis The condition is described as a harsh crescendo-decrescendo systolic murmur heard best at the right upper sternal border, with radiation of the murmur to the carotid arteries. It may arise from valve calcification over time due to aging or to having a congenital bicuspid aortic valve.

Where do you Auscultate a heart murmur?

Auscultation Locations for Heart Murmur Sounds

Aortic Valve Area Second right intercostal space (ICS), right sternal border
Erb's Point Third left ICS, left sternal border
Tricuspid Valve Area Fourth left ICS, left sternal border
Mitral Valve Area Fifth ICS, left mid-clavicular line

Related Question Answers

Rafi Diepold

Professional

What does aortic stenosis sound like?

Aortic Stenosis Auscultation
This is often a loud murmur heard early in systole. It has a diamond shaped appearance when viewed on the phonocardiograph, which is heard when the murmur rises in sound intensity. The murmur is characterized by regular vibrations which give the murmur a musical quality ("cooing").

Arnas Schwanethal

Professional

Can hypertension cause aortic stenosis?

The prevalence of hypertension (1) and of valvular aortic stenosis (2) increase with age, and both hypertension (3,4) and valvular aortic stenosis (5) cause left ventricular hypertrophy. Hypertension is a risk factor for aortic stenosis (7,10,11) and is associated with progression of aortic stenosis (7).

Jawad Maiz

Professional

What type of murmur is aortic stenosis?

The murmur of aortic stenosis is typically a mid-systolic ejection murmur, heard best over the “aortic area” or right second intercostal space, with radiation into the right neck.

Yuneida Cuns

Explainer

What kind of murmur is heard with mitral stenosis?

Mitral Stenosis (Diastolic Murmur) This is an example of a diastolic decrescendo murmur occurring after an opening snap. It is associated with mitral stenosis. The first heart sound is increased in intensity while the second heart sound is normal.

Palmira Failde

Explainer

What is typical of a Grade II heart murmur?

Murmurs are classified ("graded") depending on how loud the murmur sounds with a stethoscope. The grading is on a scale. Grade I can barely be heard. An example of a murmur description is a "grade II/VI murmur." (This means the murmur is grade 2 on a scale of 1 to 6).

Guangming Dolton

Explainer

Is a heart murmur the same as aortic stenosis?

Stenosis of the aortic or pulmonic valves will result in a systolic murmur, as blood is ejected through the narrowed orifice. Regarding the mitral and tricuspid valves, stenosis would result in a diastolic murmur and regurgitation a systolic murmur. Other murmurs will be discussed in their respective sections.

Izaskum Weissmuller

Pundit

What increases aortic stenosis murmur?

The murmur of aortic stenosis typically increases with maneuvers that increase LV volume and contractility (eg, leg-raising, squatting, Valsalva release, after a ventricular premature beat) and decreases with maneuvers that decrease LV volume (Valsalva maneuver) or increase afterload (isometric handgrip).

Terencio Yeon

Pundit

Can you hear heart murmur without stethoscope?

If you have a harmless heart murmur, more commonly known as an innocent heart murmur, you likely won't have any other signs or symptoms. An abnormal heart murmur may cause no obvious other signs or symptoms, aside from the unusual sound your doctor hears when listening to your heart with a stethoscope.

Ivis Zambotto

Pundit

What are the signs of severe aortic stenosis?

Symptoms of aortic stenosis may include:
  • Breathlessness.
  • Chest pain (angina), pressure or tightness.
  • Fainting, also called syncope.
  • Palpitations or a feeling of heavy, pounding, or noticeable heartbeats.
  • Decline in activity level or reduced ability to do normal activities requiring mild exertion.
  • Heart murmur.

Deiane Arispe

Pundit

How can you tell the difference between aortic stenosis and sclerosis?

Aortic sclerosis is thickening of the valve without any significant effect on the function of the valve itself. Aortic stenosis is thickening and tightening of the valve that leads to the heart having to work harder and the possibility of not enough blood being delivered to the body.

Campo Mangalampally

Pundit

How do you assess for aortic stenosis?

Tests may include:
  1. Echocardiogram. This test uses sound waves to produce video images of your heart in motion.
  2. Electrocardiogram (ECG).
  3. Chest X-ray.
  4. Exercise tests or stress tests.
  5. Cardiac computerized tomography (CT) scan.
  6. Cardiac MRI.
  7. Cardiac catheterization.

Porfiria Degenhart

Teacher

How does aortic stenosis affect pulse pressure?

Aortic stenosis can reduce ventricular stroke volume due to increased afterload (which decreases ejection velocity). The reduced stroke volume decreases the aortic pulse pressure, and the mean aortic pressure will fall if the reduced cardiac output is not offset by an increase in systemic vascular resistance.

Shery Vallini

Teacher

Why does aortic stenosis decrease with Valsalva?

By decreasing left ventricular filling, the left ventricular outflow tract obstruction worsens, making the murmur louder. In patients with aortic valvular stenosis, the murmur will get softer with Valsalva/standing because less blood is being ejected through the aortic valve.

Doretta Hackethal

Teacher

How do you Auscultate aortic stenosis?

To assess for "tardus," auscultate the patient's S2 heart sound while palpating their carotid upstroke. The S2 and carotid upstroke should occur almost simultaneously. If the carotid upstroke comes significantly after the S2 heart sound, "tardus" is present indicating severe aortic stenosis.

Shayna Guelho

Teacher

What murmur radiates to the carotids?

Radiation. While murmurs are usually most intense at one specific listening post, they often radiate to other listening posts or areas of the body. For example, the murmur of aortic stenosis frequently radiates to the carotid arteries and the murmur of mitral regurgitation radiates to the left axillary region.

Sorayda Limitovsky

Reviewer

Where is mitral stenosis best heard?

The murmur of mitral stenosis is best heard at the apex with little radiation. It is nearly holodiastolic with pre-systolic accentuation due to the atrial kick. It is usually described as low-pitched, decrescendo, and rumbling, and can be heard best with the patient in the left lateral decubitus position.

Yasine Eichbladt

Reviewer

Which murmur radiates to the back?

Patent ductus arteriosus may present as a continuous murmur radiating to the back.

Pawel Aguinaga

Reviewer

Is exercise good for aortic stenosis?

Based on the severity of your condition, your doctor may limit your activity, but many patients can exercise and do most activities without restriction. Because aortic stenosis tends to progress over time, even patients without symptoms will require routine testing to monitor their condition.

Luftolde Serino

Reviewer

Does diet affect aortic stenosis?

Especially common in people over the age of 65, aortic valve stenosis can also affect people who are overweight, eat a high-fat diet, are diabetic or have a congenital abnormality.

Co-Authored By:

EveryThingWhat Staff Editor

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28th January, 2020

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