Diastolic Heart Murmur - Types

Types

  • Early diastolic murmurs start at the same time as S2 with the close of the semilunar (aortic & pulmonary) valves and typically end before S1. Common causes include aortic or pulmonary regurgitation and left anterior descending artery stenosis.
  • Mid-diastolic murmurs start after S2 and end before S1. They are due to turbulent flow across the atrioventricular (mitral & tricuspid) valves during the rapid filling phase from mitral or tricuspid stenosis.
  • Late diastolic (presystolic) murmurs start after S2 and extend up to S1 and have a crescendo configuration. They can be associated with AV valve narrowing. They include mitral stenosis, tricuspid stenosis, myxoma, and complete heart block.

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