Figure 211

The differential diagnosis of the innocent murmur versus tne pathologic systotic murmur is made by the "company the murmur keeps." The innocent murmur must be found in the setting of an otherwise normal cardiovascular examination. C, midsystolic nonejection sound; PVES, pulmonic valvular ejection sound; PVES, pulmonic valvutar ejection sound; AR, aortic regurgitation.

(From Shaver JA, et al. Examination of the Heart, Part IV. Auscultation. Dallas: American Heart Association; 1990:40. Reproduced with permission from the publisher and the authors.)

click to close window