Heart Murmur Types
Pulmonic Stenosis - Systolic ejection murmur with split S2, harsh, short, high-frequency sound,
best heard at LU/RUSB, and radiating to axilla and back
Still's Murmur - Systolic murmur with vibratory or musical quality, best heard at LLSB, and
louder in supine position
Tetralogy of Fallot - Systolic ejection murmur with crescendo-decrescendo pattern and harsh
sounding
Tricuspid Regurgitation - Systolic murmur with holosystolic pattern, accentuated with inspiration
Tricuspid Stenosis - Diastolic murmur accentuated with inspiration
Truncus Arteriosus - Diastolic murmur with high pitched sound, best heard along LSB
Ventral Septal Defect (VSD) - Systolic murmur with holosystolic pattern, S1 not heard, and best
heard at LLSB
Venus Hum - Continuous murmur best heard in the infraclavicular region, louder in upright
position, and changes with turning head to the left
Adolescent Ejection Murmur - Systolic ejection murmur best heard at LUSB, softer in upright
position
Aortic Regurgitation - Diastolic murmur with decrescendo, blowing, high-pitched sound,
radiating to 2nd L ICS, widened pulse pressure, and bounding peripheral pulses
Pulmonic Stenosis - Systolic ejection murmur with split S2, harsh, short, high-frequency sound,
best heard at LU/RUSB, and radiating to axilla and back
Still's Murmur - Systolic murmur with vibratory or musical quality, best heard at LLSB, and
louder in supine position
Tetralogy of Fallot - Systolic ejection murmur with crescendo-decrescendo pattern and harsh
sounding
Tricuspid Regurgitation - Systolic murmur with holosystolic pattern, accentuated with inspiration
Tricuspid Stenosis - Diastolic murmur accentuated with inspiration
Truncus Arteriosus - Diastolic murmur with high pitched sound, best heard along LSB
Ventral Septal Defect (VSD) - Systolic murmur with holosystolic pattern, S1 not heard, and best
heard at LLSB
Venus Hum - Continuous murmur best heard in the infraclavicular region, louder in upright
position, and changes with turning head to the left
Adolescent Ejection Murmur - Systolic ejection murmur best heard at LUSB, softer in upright
position
Aortic Regurgitation - Diastolic murmur with decrescendo, blowing, high-pitched sound,
radiating to 2nd L ICS, widened pulse pressure, and bounding peripheral pulses
