Murmur locations heard best at...

[Jonari]

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For aortic stenosis which is a C/D ejection murmur, is supposed to be heard best at the pulmonic area, correct - 2nd left ICS? However, according to FA it's supposed to be heard best at the aortic area. 2012 has it listed on this side.

Googling for information, shows it showing up in the Pulmonic area. Can somebody clear this up for me, please? Thanks. 😕

 

[Charles_Carmichael]

In Lilly's, it says that it's a systolic ejection-type murmur that's loudest at the upper-right sternal border (so, aortic area).

Pg. 214 if you're interested.

 

[withrye]

The whole reason it's called the "aortic area" is that you can hear the aortic valve best there. What have you found to say that it should be in the pulmonic area?

 

[Jonari]

The whole reason it's called the "aortic area" is that you can hear the aortic valve best there. What have you found to say that it should be in the pulmonic area?

It's on FA 2012 on page 284. It has a picture of the ribcage and under Pulmonic area it has "systolic ejection murmur".

On page 285, it says that AS is a systolic ejection murmur...so a bit thrown off, because on page 284 under Aortic area it simply says "systolic murmur" and aortic stenosis under it.

 

[mayn]

It's on FA 2012 on page 284. It has a picture of the ribcage and under Pulmonic area it has "systolic ejection murmur".

On page 285, it says that AS is a systolic ejection murmur...so a bit thrown off, because on page 284 under Aortic area it simply says "systolic murmur" and aortic stenosis under it.

I think that is referring to systolic ejection murmur of pulmonic stenosis. (both aortic and pulmonic are systolic ejection murmurs)

 

[withrye]

It's on FA 2012 on page 284. It has a picture of the ribcage and under Pulmonic area it has "systolic ejection murmur".

On page 285, it says that AS is a systolic ejection murmur...so a bit thrown off, because on page 284 under Aortic area it simply says "systolic murmur" and aortic stenosis under it.

That picture might be referring to Pulmonic Valve Stenosis, which would also be a systolic ejection murmur. Remember that during systole you have multiple sources for murmurs: two regurg options (mitral > tricuspid) and two stenotic options (aortic > pulmonic).