Here is a quick mnemonic “EARLY SYSTOLIC MURMUR“ to remember about Early Systolic Heart Murmur
This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams
Early Systolic Heart Murmur : How To Remember Easily ?
- E – Early systolic murmurs begin with S1 and extend for a variable period.
- A – Acute, severe MR into a normal-sized, relatively non-compliant left atrium results in an early, decrescendo systolic murmur.
- R – Reflect the progressive attenuation of the pressure gradient between the left ventricle and the left atrium during systole.
- L – Left atrial pressure caused by the sudden volume load into an unprepared, noncompliant chamber.
- Y – You may hear the murmur at or just medial to the apical impulse.
- S – Sudden volume load into an unprepared, noncompliant chamber.
- Y – You should distinguish it from the murmur associated with post-MI ventricular septal rupture.
- S – Signaled by chest pain, hypotension, and pulmonary edema.
- T – Transthoracic echocardiography (TTE) is indicated for evaluation.
- O– Oxygen saturations should be sequentially determined to differentiate it from ventricular septal rupture.
- L – Left ventricular size and systolic function should be assessed.
- I – In all cases of suspected acute, severe MR, TTE is indicated.
- C – Congenital, small muscular VSD may be associated with an early systolic murmur.
- M – Murmur is localized to the left sternal border and usually of grade 4 or 5 intensity.
- U – Uncorrected VSDs may lead to pulmonary hypertension.
- R – Right ventricular lift and loud S2 may predominate in the presence of pulmonary hypertension.
- M – Murmur associated with TR may increase in intensity with inspiration.
- U – Usually soft (grade 1 or 2) and best heard at the lower left sternal border.
- R – Regurgitant c-v waves may be visible in the jugular venous pulse.
Mnemonic :EARLY SYSTOLIC MURMUR
