II. General
- Diastolic Murmurs are almost always pathologic
III. Causes
- Early, Diastolic Regurgitation Murmur
- Aortic Regurgitation
- Murmur 1-2/6 high pitch, decrescendo, left third intercostal, best at end-expiration, sitting, leaning forward
- Pulmonic Regurgitation
- Murmur 1-2/6 high pitch, decrescendo, left upper sternal border, best with inspiration
- Aortic Regurgitation
- Early, Diastolic Ejection Murmur
- Mitral Stenosis (<1 per 10,000 live births)
- Murmur 1-2/6 at apex
- Mitral Stenosis (<1 per 10,000 live births)
- Diastolic To-and-fro Murmur
- Patent Ductus Arteriosus (newborns, 5 per 10,000 births)
- Murmur 2-4/6 at left upper sternal border, machinery sound (to and fro), also heard as Systolic Murmur
- Patent Ductus Arteriosus (newborns, 5 per 10,000 births)
IV. Exam
- See Heart Murmur
- Dynamic Maneuvers
- Increased Afterload (e.g. hand grip, transient arterial Occlusion with Blood Pressure cuff)
- Increases Aortic Regurgitation, Ventricular Septal Defect (and possibly Mitral Stenosis) Diastolic Murmurs
- Increased venous return and increased left Ventricular Afterload (e.g. deep or exaggerated inspiration)
- Increases tricuspid stenosis (and possibly pulmonary regurgitation) Diastolic Murmurs
- Decreased jugular venous return (Jugular Vein compression, or transition supine from sitting)
- Decreases Venous Hum continuous murmur
- Increased Afterload (e.g. hand grip, transient arterial Occlusion with Blood Pressure cuff)
V. References
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Sign or Symptom (T184) |
| MSH | D006337 |
| SnomedCT | 163087007, 140301005, 30782001 |
| LNC | LA17240-5 |
| Dutch | diastolisch geruis |
| German | diastolisches Geraeusch, Diastolische Geräusche, Diastolische Herzgeräusche |
| Italian | Soffio diastolico |
| Portuguese | Sopro diastólico |
| Spanish | Soplo diastólico, soplo diastólico (hallazgo), soplo diastólico |
| Japanese | 拡張期性心雑音, ｶｸﾁｮｳｷｾｲｼﾝｻﾞﾂｵﾝ |
| English | Diastolic Murmurs, Diastolic Murmur, Murmur, Diastolic, Murmurs, Diastolic, diastolic murmurs, diastolic heart murmur, diastolic murmur, Murmur diastolic, Diastolic heart murmur, functional murmur diastolic, Diastolic murmur (diagnosis), Murmur-diastolic, Diastolic murmur, DM - Diastolic murmur, Diastolic murmur (finding), Diastolic murmur, NOS |
| French | Souffle diastolique, Murmure diastolique, Souffles diastoliques |
| Czech | Diastolický šelest, diastolické šelesty |
| Hungarian | Diasztolés zörej |
| Norwegian | Diatolisk bilyd |
