1. The Auscultation Assistant - Hear Heart Murmurs, Heart Sounds, And Breath Sounds Presented are audio of numerous heart sounds and murmurs.Category Health Conditions and Diseases Heart Disease Murmurs......Hear heart murmurs, heart sounds, and breath soundsto help with physical diagnosis. http://www.wilkes.med.ucla.edu/intro.html

The Auscultation Assistant provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills. Since its creation in 1997, it has logged over 175,000 visits. Christopher Cable, MD Thanks to for providing the tools to record some of the sounds In association with

2. Heart Murmur Learn what this is and how normal valves work. Includes images and audio files to compare a normal heart to aortic and mitral stenosis and insufficiency. icons below to hear four of the most common heart valve murmurs. You must have the Basic RealPlayer plugin to play http://www.openheartsurgery.com/Heart_Murmur/heart_murmur.html

3. Learn About Heart Murmurs In Children From Plainsense heart murmurs in Pediatric Patients When Do You Refer? http://www.plainsense.com/Health/Childrens/heart_murmur.htm

Search the Web. Type it and go! Related Topics: Allergies Anemia Appendicitis Bed Wetting ... Fitness Heart Murmur Infectious Disease Jaundice Lactose Lead Poisoning ... Weight Control WHAT TO KNOW A heart murmur is a sound in the heartbeat that is often detected during a routine office visit. The murmur is usually the result of an irregular flow of blood through the heart that rarely affects the overall health of the child. If your child has a heart murmur, he/she can be treated like a normal, healthy child. Unless otherwise directed by your child's doctor, make sure your child gets plenty of exercise and eats right. INNOCENT HEART MURMURS are not the result of structural abnormalities. They are often very faint and can't be heard consistently. Innocent murmurs are harmless and usually disappear by adulthood. COMMON UNDERLYING HEART DEFECTS If the cause of the murmur is from a heart defect, it's commonly either a septal or a valvular problem. Septal defects are small openings in the partition (the septum) that separates the left and right sides of the heart. These openings can allow blood to flow irregularly between the two sides. Many small septal defects will usually close on their own. Surgery may be necessary if the defects are large or infected or cause symptoms of heart failure. Valvular defects refer to abnormalities of the valves that keep blood from flowing "backward" into the heart chambers. A defective valve might allow blood to back up in the wrong direction. This interrupts the normal blood flow. Like septal defects, they can be treated. Surgery may be recommended to replace the damaged valves.

4. Heart  Murmurs Rarely Life Threatening Dr. Miguel Qui±ones speaks out about this disorder and its causes. http://www.bcm.tmc.edu/pa/murmurs.htm

pa@bcm.tmc.edu Heart Murmurs Rarely Life Threatening HOUSTON(Sept. 29, 1998)A heart murmur might be the body's scare tactic, but it's bark is often worse than its bite, says a cardiologist at Baylor College of Medicine in Houston. "Most heart murmurs are not life-threatening," said Dr. Miguel Quiñones, professor of medicine at The DeBakey Heart Center at Baylor and The Methodist Hospital in Houston. "Many people who experience heart murmurs have perfectly healthy hearts. But, in addition to a regular heartbeat, the stethoscope picks up a buzzing or swishing sound as well. A murmur is caused by turbulent blood flow and is usually linked to a heart- valve disorder. Quiñones says there are two kinds of heart murmurs: functional and pathologic. An functional murmur is caused by turbulent blood flow through a normal heart valve. A pathologic murmur is due to blood flowing through a defective valve or an abnormal opening in the heart. "More than half of all patients diagnosed with a heart murmur have the functional type that doesn't require follow-up or treatment," said Quiñones, who is also director of the echocardiography laboratory at Methodist.

5. Synapse Publishing Inc. Cool Stuff - Heart Beats, Heart Sounds The Heart Clinic. Atlas of heart murmurs from the University of Kansas Medical Center http://www.medlib.com/spi/coolstuff2.htm

Our Collection of Murmurs, Defects and Others Synapse Publishing Inc. has provided these sounds solely to educate those who wish to know more about heart beats. This page is not a diagnostic tool and cannot replace the judgement and expertise of a trained medical professional. If you have a concern about your health, please consult a physician. Although Synapse Publishing has made every effort to assure the accuracy of the information found on this page, omissions or inaccuracies may occur. Normal Heart Sounds - 3rd Heart Sound Functional or Innocent Murmurs-Venous Hum Ventricular Septal Defect Atrial Septal Defect ... Coarctation of the Aorta A few of you have told us that you are having problems hearing our heart beats. First of all, we have tried to enhance the quality of the heart sounds as much as possible, but it is still necessary to turn your speakers to a high volume to hear the beats (remember to turn your speakers down after you are finished!). To make sure as many people as possible can hear the sounds, we've converted the files above to the Wave Sound format (.wav). Don't worry, the old Audio (.au)

6. Heart Murmurs Looks at heart murmurs and their causes.Category Health Conditions and Diseases Heart Disease Murmurs......heart murmurs can be caused by defective heart valves or holes in theheart walls. A heart murmurs What causes heart murmurs? Heart http://www.americanheart.org/presenter.jhtml?identifier=4571

7. Children's Heart Institute | What Is A Heart Murmur? Learn about heart murmurs what they are, what they sound like. Click and listen to what a heart murmur sounds like. Most of the time heart murmurs are normal and do not indicate that there is anything wrong with the heart. http://www.childrenheartinstitute.org/educate/murmur/murmur.htm

What is a Heart Murmur? Causes Innocent vs. Not-Innocent Physical Signs Common Questions ... Plan of Action What is a Heart Murmur A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your child's heart with a stethoscope. The heart beat normally makes two sounds: the first is Lub and the second is Dub , these two sounds follow each other ( Lub Dub ) and are not separated by any extra sounds. A heart murmur will be heard as a swishing or a whistling sound in addition to the normal Lub-Dub sound. The moving blood sounds like the running water in your garden hose. A heart murmur may indicate that there is a heart problem or may be due to normal blood flow. A heart murmur is not a diagnosis or disease, it is a sign to alert our attention to check if there is anything wrong. Most of the time heart murmurs are normal and do not indicate that there is anything wrong with the heart. However, sometimes they may result from a hole in the heart or a narrowed valve. A hole in the hose allows water to squirt out producing a whistling sound.

8. The Boxer Underground - August, 1999 - Boxer Heart Murmurs Information For New P HANDOUT SHEET ON BOXER heart murmurs. FOR NEW PUPPY OWNERS. UK. heart murmurs have been found to be common among Boxers. http://www.boxerunderground.com/aug_99/murmurs.htm

Search Originals by Omar - Boxer breed jewelry, custom designs, beautifully detailed 14kt gold. Visit Originals by Omar at http://www.originalsbyomar.com HANDOUT SHEET ON BOXER HEART MURMURS FOR NEW PUPPY OWNERS UK Heart murmurs have been found to be common among Boxers. It should be emphasised that these do not affect health in the great majority (95%) of dogs. The few dogs with very loud murmurs, however, may be subject to fainting, and there may even be sudden death. Aortic stenosis is the heart condition most commonly associated with these heart murmurs, but cases of pulmonic stenosis and cardiomyopathy, as found in other breeds, have also been detected. Typically, clinical signs of aortic stenosis first appear in the young adult although, rarely, puppies can be affected. It should be stressed that minor "flow" murmurs are commonly found in young Boxer puppies, as in other breeds, but most disappear by about 16 weeks of age. Even if they persist there may be no cause for alarm if they are quiet. Such genuine "flow" murmurs are not associated with heart disease in the adult. The incidence of Boxers with severe aortic stenosis has increased in recent years, although the numbers of cases are still very low in relation to the numbers of dogs bred.

9. MEDLINEplus Medical Encyclopedia: Heart Murmurs And Other Sounds Article about the definition, alternative names, common causes in detail, what to expect from your Category Health Conditions and Diseases Heart Disease Murmurs......heart murmurs and other sounds. Alternative names Return to top Chestsounds murmurs; Heart sounds - abnormal. Definition Return http://www.nlm.nih.gov/medlineplus/ency/article/003266.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Heart murmurs and other sounds Contents of this page: Illustrations Alternative names Definition Considerations ... What to expect at your health care provider's office Illustrations Heart, section through the middle Alternative names Return to top Chest sounds - murmurs; Heart sounds - abnormal Definition Return to top Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow through the heart valves. Considerations Return to top Heart sounds are evaluated by listening with a stethoscope ( auscultation ). They can be further evaluated with an echocardiogram to see what the exact cause of the murmur is. The heart has four chambers two upper chambers (called atria) and two lower chambers (ventricles). The heart has valves that temporarily close to permit blood flow in only one direction. The valves are located between the atria and ventricles, and between the ventricles and the major arteries from the heart. Normal heart sounds are called S1 and S2. They are the "lubb-dupp" sounds that are thought of as the heartbeat. These sounds are produced when the heart valves close.

10. The Auscultation Assistant - Hear Heart Murmurs, Heart Sounds, And Breath Sounds heart murmurs. What causes heart murmurs? heart murmurs can be caused by defective heart valves or holes in the heart http://www.med.ucla.edu/wilkes/intro.html

The Auscultation Assistant provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills. Since its creation in 1997, it has logged over 175,000 visits. Christopher Cable, MD Thanks to for providing the tools to record some of the sounds In association with

11. Congestive Heart Failure A discussion about CHF in dogs including audio of heart murmurs. http://www.petdrs.com/chf.htm

Animal Hospital of Casper - On Line Congestive Heart Failure (CHF) Congestive heart failure is one of the more common heart diseases seen in dogs, especially smaller breeds. A variety of signs may be present with CHF. This disease is normally seem in senior or geriatric age dogs. A sometimes insidious chronic cough develops over time and the pet may exhibit reduced exercise tolerance. Veterinarians must use all resources to accurately diagnose heart diseases, starting with a comprehensive physical examination and history. Below are examples of actual normal heart sounds and a heart murmur. (return to Physical exam Click on the Heart to hear actual recording of " Normal Heart Sounds and Heart Murmur "! The murmur sound is most often a result of an abnormality of the heart valves. Chronic infections, including dental disease, can cause the heart valves to become irritated and scarred for life. This diseased valves do not close tightly and, therefore, the murmur can be heard. Poor valve closure creates high blood pressure which results in retention of fluids in the lungs (sometimes the abdomen, as well). Poor circulation from the heart to the other organs (kidneys, liver and brain) can result in deterioration of those organs systems depending on good blood circulation. These pictures show the differences from a Normal heart and a CHF heart with diseased valves.

12. Innocent Heart Murmurs Innocent heart murmurs are sounds made by the blood circulating through theheart's chambers and valves or through blood vessels near the heart. http://www.americanheart.org/presenter.jhtml?identifier=4594

13. Children: Heart Disease & Health The normal heart, defects, heart murmurs, kawasaki disease, treatment, school programs and feeding an infant with congenital heart disease. Information provided by the American Heart Association. http://www.americanheart.org/children/

The two types of heart disease in children are "congenital" and "acquired." Congenital heart disease (also known as a congenital heart defect) is present at birth. Some defects in this category are patent ductus arteriosis, atrial septal defects and ventricular septal defects. Acquired heart disease, which develops sometime during childhood, includes diseases such as Kawasaki disease, rheumatic fever and infective endocarditis. Common diagnostic tests for these diseases are explained here. About 40,000 children are born with a heart defect each year. Most of these children can benefit from surgery even if the defect is severe. When surgery is necessary, many medical treatments are available to help the heart work properly. There is nothing that parents could have done to prevent these defects. Learn about conditions that can interfere with the work of the heart and treatment options in this section. Kawasaki disease is an example of acquired heart disease that occurs primarily in children who are 5 years old or younger. Although medical knowledge of the disease is still developing, there are steps you can take to recognize the symptoms and deal with the disease's effects. At least 8 of every 1,000 infants born each year have a heart defect. About 1 million Americans with cardiovascular defects are alive today. Though research is ongoing, at least 35 defects have now been identified.

14. Heart Murmurs - Texas Heart Institute Heart Information Center heart murmurs. Normal heart sounds come in pairs. This is called a heart murmur.Some heart murmurs are a harmless type called innocent heart murmurs. http://www.tmc.edu/thi/murmur.html

//var DOCUMENTGROUP=''; //var DOCUMENTNAME=''; //var ACTION=''; Heart Information Center Heart Murmurs Normal heart sounds come in pairs. The sounds are often described as a constant "lub-dub, lub-dub." The first "lub-dub" is the sound of the mitral and tricuspid valves closing. The second "lub-dub" is the sound of the aortic and pulmonary valves closing soon after. But if there is a problem, a murmur may be added to this normal "lub-dub." By using a stethoscope to listen to your heart, your doctor's trained ear can tell if the abnormal sound indicates turbulence. This is called a heart murmur. Some heart murmurs are a harmless type called innocent heart murmurs. They are common in children and do not require treatment or lifestyle changes. In most cases, innocent murmurs disappear when children reach adulthood. Though some heart murmurs are innocent, others are a sign of a more serious heart problem. In these cases, the sound may indicate that blood is flowing through a damaged or overworked

15. Berger: Mitral Valve Prolapse A detailed look at mitral valve prolapse including heart murmurs, detection of heart valve abnormalities, exercise, endocarditis and prognosis among other things are discussed. Written by Christopher Berger. http://www.uoregon.edu/~iishp/Berger4.html

Mitral Valve Prolapse By Christopher Berger Introduction. Heart murmurs are abnormal heart sounds occurring due to abnormalities in one or more of the hearts four valves (1). The most common type of heart murmur is a mitral valve prolapse (MVP). Poor closure of the mitral valve and/or subsequent regurgitation of blood from the left ventricle to the left atrium causes a clicking or shuffling sound heard mid- to late-systole. MVPs are reported to be the most common valvular heart disease in industrialized countries, affecting about 3% of adults (2,3,4). MVP occurs in 6-10% of young women and 4% of young men. The prevalence may exceed 10% in women ages 14-30. Following is a brief orientation to characteristics of MVP including methods of detection, associated disorders, and treatment. Abnormal Heart Sounds (Heart Murmurs). Depending upon when they occur during the normal cardiac cycle, heart murmurs can be classified into three types: systolic, diastolic, and continuous. Brukner and Khan identify eight systolic, two diastolic, and two continuous types of murmurs (5). Fabius identifies six systolic and two diastolic types of murmurs (6). Lillegard and Rucker identify five systolic, two diastolic, and one continuous type of murmur (7). Although sources differ regarding the number of diagnosable murmurs, the classification of when the murmur occurs is critical to an appropriate diagnosis. (Systolic murmurs are typically benign and diastolic murmurs are always pathological.) MVP is classified as a systolic murmur.

16. Heart Murmurs In Children: What Parents Should Know What parents should know regarding a normal heart murmur, and what does it mean. Discusses when it Category Health Conditions and Diseases Heart Disease Murmurs......heart murmurs in Children What Parents Should Know. What is a heartmurmur? A heart hose. Many healthy people have heart murmurs. About http://familydoctor.org/handouts/453.html

Information from Your Family Doctor Heart Murmurs in Children: What Parents Should Know What is a heart murmur? A heart murmur is just a noise that the blood makes as it flows through the heart. It's like the noise water makes when it flows through a hose. Many healthy people have heart murmurs. About 80 percent of all children have a heart murmur at some time. What is a "normal" heart murmur? Most heart murmurs don't mean there is anything wrong. Your doctor may call these murmurs "innocent" or "functional." "Normal" is another word to describe these murmurs. A normal murmur is just a noise caused by blood flowing through a normal heart. A normal murmur can get louder when the blood flows faster through the heart. For example, when the body's temperature goes up, the blood flows faster. Doctors often hear heart murmurs when they check children who have a fever. Many normal murmurs become hard to hear as children grow older. Some murmurs just go away. What does it mean if my child has a normal heart murmur? If your child has a normal heart murmur, he or she can run, jump and play, with no limits on activity. Your child doesn't need to take any medicine or be careful in any special way.

17. Advanced Search August 1999 AFP heart murmurs in Pediatric Patients When Do You Refer? 5.TABLE 1 Listening Areas for Common Pediatric heart murmurs. Area, Murmur. http://www.aafp.org/afp/990800ap/558.html

Advanced Search Heart Murmurs in Pediatric Patients: When Do You Refer? MICHAEL E. MCCONNELL, M.D., SAMUEL B. ADKINS III, M.D., and DAVID W. HANNON, M.D. East Carolina University School of Medicine Greenville, North Carolina A patient information handout on heart murmurs in children, written by the authors of this article, is provided on page 565. Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract abnormalities, and patent ductus arteriosus. An atrial septal defect is often confused with a functional murmur, but the conditions can usually be differentiated based on specific physical findings. Characteristics of pathologic murmurs include a sound level of grade 3 or louder, a diastolic murmur or an increase in intensity when the patient is standing. Most children with any of these findings should be referred to a pediatric cardiologist. (Am Fam Physician 1999;60:558-65.) P rimary care physicians frequently encounter children with heart murmurs.

18. Advanced Search heart murmurs in ChildrenWhat Parents Should Know. What is a heartmurmur? A heart hose. Many healthy people have heart murmurs. About http://www.aafp.org/afp/990800ap/990800f.html

Advanced Search Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org , the AAFP patient education Web site. An article on this topic is available in this issue of AFP Heart Murmurs in ChildrenWhat Parents Should Know What is a heart murmur? A heart murmur is just a noise that the blood makes as it flows through the heart. It's like the noise water makes when it flows through a hose. Many healthy people have heart murmurs. About 80 percent of all children have a heart murmur at some time. What is a "normal" heart murmur? Most heart murmurs don't mean there is anything wrong. Your doctor may call these murmurs "innocent" or "functional." "Normal" is another word to describe these murmurs. A normal murmur is just a noise caused by blood flowing through a normal heart. A normal murmur can get louder when the blood flows faster through the heart. For example, when the body's temperature goes up, the blood flows faster. Doctors often hear heart murmurs when they check children who have a fever. Many normal murmurs become hard to hear as children grow older. Some murmurs just go away.

19. INNOCENT HEART MURMURS Indepth look at how to evaluate a murmur, symptoms to look for, physical examination, auscultation, Category Health Conditions and Diseases Heart Disease Murmurs......INNOCENT heart murmurs. heart murmurs is a common finding on routine examinationof infants and children. Decrease intensity of innocent heart murmurs. http://www.rchc.rush.edu/rmawebfiles/htmurmurs.htm

INNOCENT HEART MURMURS Rush Children's Heart Center Home Page Main contents page Heart murmurs is a common finding on routine examination of infants and children. 50% of normal children have an innocent heart murmur. How to evaluate a murmur? Search for symptoms or signs of congenital heart disease. Patients with innocent heart murmurs should be free of such symptoms or signs. Therefore, when history is obtained and during physical examination symptoms and signs which may point to heart disease should be identified. The presence of symptoms and/or signs of heart disease will suggest the pathological nature of the heart murmur being investigated. History Abnormal findings indicating a pathological orgin of a heart murmur include: Shortness of Breath (SOB): This results from pulmonary edema due to increased pulmonary blood flow. Fluid escaping the engorged pulmonary vasculature will interfere with normal gaseous exchange, resulting in hypoxia which precipitates tachypnea and SOB, particularly with exertion such as feeding. Easy fatigue: This results from pulmonary edema and poor cardiac output.

20. Heart Murmurs Heart Information. heart murmurs. What causes a heart murmur? heart murmurs maybe caused by a number of factors or events, including defective heart valves; http://www.umm.edu/cardiac/murmurs.htm

Heart Information Coronary Heart Disease... Stroke / Brain Attack... Cardiac Conditions... ... Section Index Related Resources Within UMM Maryland Heart Center Heart Information Heart Murmurs What causes a heart murmur? Heart murmurs may be caused by a number of factors or events, including: defective heart valves holes in the heart walls pregnancy fever thyrotoxicosis anemia What are the types of murmurs? Types of murmurs include: diastolic murmur - occurs during heart muscle relaxation between beats. systolic murmur - occurs during heart muscle contraction and is graded by intensity (on a scale of one to six, with one being very faint and six being extremely loud). stenotic heart valve - valve cannot open completely, so blood is ejected through a smaller than normal opening. aortic or mitral regurgitation - valve may be unable to close completely, leading to regurgitation of blood back through the valve when it should be closed. innocent heart murmurs - sounds made by blood circulating through the chambers and valves of the heart or through blood vessels near the heart; sometimes referred to as "functional" or "physiologic" murmurs. Innocent murmurs are common in children and usually quite harmless and disappear when a child reaches adulthood, though some adults still have them. Home Health Info Our Physicians Our Services ... Make Appt.

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