271
4954147819011156112
Regurgitant1205596012894156226296343412452490553622661
systolic1902596012854125177217287326365428
murmurs23645960128109177224334402449504
occur2903596012871133195266313
with:32515960128101139178248287
1.1205839012870106
Mitral13468390128196235275321383422
valve1802839012871133171242304
insufficiency2141839012839108163233280327365427465527597660730
•12051080012849
heard128910800128199261324370440
at17641080012863100
the19001080012839108171
apex21061080012862131194264
of24041080012870117
the25561080012839109172
heart27631080012870131194240279
•12051321012849
closely128913210128191230300354417455526
related18481321012847109148210250313382
to22651321012839110
the24101321012839108171
valvular26151321012870133172242311351412459
component31091321012863133242310381450513582622
of37651321012870116
S139161321012878148
•12051563012849
accompanied128915630128191253315386496563626696735798867
by21911563012883154
the23781563012852122185
attenuation25981563012875114154216286356418456496565635
of32681563012883131
S134341563012891161
and36301563012875144214
accentuation38801563012875137199262331370440503541580650719
and46351563012875145215
splitting48851563012868137177215255293332402472
or53931563012883129
doubling8511805012870141210280320358429498
of13831805012870118
S215361805012878148
in17191805012838108
the18631805012837107170
PA.20671805012878179214
•12052046012849
transmission128920460128167215277346401511547602657696767836
in21612046012837108
the23042046012838108171
axillary25102046012861131170209248311357428
fossa29712046012847117171226288
•12052288012849
heard128922880128199261324370440
better17642288012870132171209272319
in21182288012838108
the22622288012837108171
left24682288012837100147185
lateral26882288012839102140203249312350
decubitus30732288012870132194263334372412482536
position.36442288012870140195233273311382451487
•12052529012849
characterized128925290128191261324371433494533596642681743805875
as22002529012862115
a23512529012862
decreasing24482529012870131194239302364419457528598
murmur.308125290128109177224334402449485
•12052771012849
The128927710128214284347
duration16712771012878148195257295334404474
of21802771012878126
the23412771012845115178
murmur256127710128109177224334402449
depends30452771012879141212275345414468
on35492771012878148
the37322771012846116178
size39462771012862101163226
of42072771012877124
the43662771012846117178
valve45792771012879141179249312
defect49262771012877139185248310349
and53112771012869139209
the8513012012839110172
speed10593012012853122185247317
of14113012012870117
left15633012012838101148185
ventricular17843012012870132202240287325388458497560606
myocardial242530120128110178247310372419489528590629
contraction.30903012012862131201239286349411449488558628663
2.12053254012870106
Tricuspid134632540128157203242305375429499539608
valve19903254012891154193262325
insufficiency.23493254012862131186256302349388451489551621683753787
A317132540128123
similar33293254012877116226263302365412
pattern37763254012892155194233295342411
is42233254012860115
heard43733254012892155216263333
at47413254012884123
the48993254012861131194
sternal51283254012876115178223294355393
base.8513495012870133188249284
Stenotic12053737012878117180249320358397459
systolic17003737012854125177217287326364427
murmurs216237370128110177224333401448503
occur27013737012870132194265312
with:304837370128102139178248287
1.12053979012870106
Aortic134639790128173242290329367430
stenosis.18113979012864102165234304359397452488
Heard234339790128101163225272341
in27203979012848118
the28733979012848118181
second30893979012862125187257327397
intercostal35213979012848118157219266327397453491554592
space41483979012864134196259320
to45033979012848118
the46573979012848117180
right4872397901285694164234273
of51803979012880126
the53413979012848118181
sternum.851422001285594157202273342452485
Begins13814220012894156226266335390
with181742200128101139178248
the20994220012850119182
vascular23164220012880142196259329367430477
component28274220012873142251319390460522592632
of34934220012881127
S1.36554220012889158193
Accompanied389342200128102164226295405472535605645708778
by47064220012880151
attenuation48904220012873112150213282353414454492562631
of8514461012870117
S110044461012878147
at11874461012863102
the13244461012839109171
apex15314461012863132195264
and18304461012863132203
attenuation20684461012863102141203273343405443483552622
of27264461012871118
S228794461012878148
at30624461012863101
the31994461012839108171
aorta.34054461012863132179218280315
Radiates37564461012894156225265327365428481
with427444610128101140178248
the45574461012840110178
blood47704461012870109179249319
flow5125446101284786155257
to54164461012840110
all8514702012862101141
major102747020128149209248317365
arteries142747020128101148187250297334397451
(brachiocephalic,191347020128861562032653273974365075686317007718338719109721007
subclavian29564702012893163233295334396466506568638
arteries,362947020128102149187249296334397450486
aortic415047020128101171219256295358
arch,454247020128101148210280316
abdominal489347020128101171241311420457528590628
aorta).8514945012862133180218281327362
Best124849450128115177232270
heard15544945012891154215262332
lying19224945012860131168239308
on22664945012891161
the24624945012861130193
right26904945012868107177247286
side.30114945012876115185247281
Coarse,332749450128115185248294349412447
raspy,38094945012868130184254325358
crescendo-decrescendo4202494501288313019324730937144251158263370376682787393698910521115118412541324
("diamond-shaped")8515186012847104174213276385453524594642695765828898960103010871133
murmur.201851860128110177225335403450485
2.12055427012870106
Pulmonary134654270128149220259369437507570617687
artery20665427012881128167230276346
stenosis24455427012874113176245316370408463
–29445427012890
in30695427012857127
the32315427012857127189
second34555427012873135198267337407
intercostal38985427012856127165228275337408462502564602
space45365427012872141204267329
to48995427012858128
the50625427012857127190
left,52865427012858120166205240
with85156690128101140179249
similar1135566901285593203239279342388
characteristics.15585669012863133196242304366405467513551606645684746801836
Organic120559110128101148218281351389452
diastolic16915911012870110171226265335374412475
murmurs220159110128109177224333401448503
also27405911012862102157226
divided30025911012870108179217287350420
into34575911012838109147217
regurgitant37095911012847109178249296365403443506575613
and43585911012862132202
stenotic.4595591101285593156225294334372435470
Diastolic120561520128101140203257296366405443506
regurgitant17466152012847110179249296366404443506575614
murmurs239461520128109177224334402449504
occur29336152012871133195266313
with:328161520128101139178248289
1.12056393012870106
Aortic134663930128173242290329367430
valve18116393012883146185254317
insufficiency.21636393012852122177246294340378441479541611674744777
The297563930128100169232
murmur325663930128110177225335403450
begins37416393012884147217257326381
with417163930128101140178249
the44546393012853123186
vascular46756393012883146199262332370432479
aortic51896393012876147194232270333
component8516635012862133242310381451514583622
of15086635012871118
S2.16626635012878147184
Accompanied188266350128101163225296405473536606646708778
by26956635012870140
attenuation28696635012863102142204275344406445484554624
of35286635012871118
S136826635012878147
at38656635012863102
the40026635012839110172
apex42096635012863133196265
and45096635012864134203
attenuation47486635012863102140203272342405444482552622
of54066635012870116
S28516877012878148
at10356877012876114
the11846877012852122185
aorta.14046877012876145192230293328
Diastolic178168770128101139201256294364404442505
murmur233568770128109177224333401448
in28186877012853124
aortic29776877012876145192231270331
insufficiency33446877012853122177247294341379442479542611674744
is41226877012853108
best42646877012884147200239
heard45386877012883146209255325
at48986877012875114
Botkin's504768770128107177216285325395420474
point8517118012870141179249288
and11757118012871142211
in14227118012848119
the15757118012849119182
second17927118012864127189258328398
intercostal22257118012849119158220267329398453492555593
space28537118012865135198260321
to32097118012850119
the33647118012849119182
right3580711801285796165235274
of38907118012879126
the40527118012848117180
sternum.42677118012864104166212281352461494
The47967118012896166229
murmur507071180128109177224335402450
intensifies8517360012839110148211280335373421459521576
in14637360012857127
the16267360012859128191
position18527360012889160214252292332403472
with236073600128121159198268
the26637360012859129191
hands28907360012889151220291345
behind32717360012889151220260330400
the37077360012858127190
head39327360012889152214283
–42517360012893
Sirotnin-Kukoverov43807360012898136182252292362400471518620688758828898961100710761146
sign.851760101285594164233269
Does115476010128102171234289
not14777601012870140179
radiate.16927601012846109178216279318380414