Heart murmur (grading of murmur)
by Franklin B Saksena, Ranganathan Narasimhan, Sivaciyan Vahe

The Art and Science of Cardiac Physical Examination (With Heart Sounds, Jugular and Precordial Pulsations)

by Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B Saksena
About Video

This recording is taken from the 3rd left interspace of a 35 year old man who has had history of previous cardiac surgery for closure of a congenital ventricular septal defect. Please note when reference is made in these annotations to the locations from where the recordings have been taken and a particular intercostal space is mentioned, it automatically indicates the locations to be near the sternal border (left interspace at the left sternal border and the right interspace at the right sternal border as the case may be). The S1 is poorly heard. The murmur is loud and sounds harsh and rough and appears to end before the S2 with a pause.

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