I am not very smart and struggle with the heart murmurs, but I have never understood how the following affect murmurs:
a) effect of Valsalva/carotid massage on a murmur.
b) effect of increasing/decreasing preload on a murmur
c) radiation sites of various murmurs (i.r. apex, axilla, etc.)
d) why MVP/HCM differ from the other murmurs
It is difficult for me to understand the mechanism/reason???
Any help or explanation would be awesome. And is there a good resource out there that explains this well for free?
Thanks
a) effect of Valsalva/carotid massage on a murmur.
b) effect of increasing/decreasing preload on a murmur
c) radiation sites of various murmurs (i.r. apex, axilla, etc.)
d) why MVP/HCM differ from the other murmurs
It is difficult for me to understand the mechanism/reason???
Any help or explanation would be awesome. And is there a good resource out there that explains this well for free?
Thanks