Echocardiography In Heart Murmur Mnemonic

• D – Doppler signals of trace or mild valvular regurgitation of no clinical consequence can be detected with structurally normal tricuspid, pulmonic, and mitral valves.
• O – Other symptoms or signs of cardiovascular disease, including those from ECG or chest x-ray, should also undergo echocardiography.
• P – Patients with grade 1 or 2 midsystolic murmurs but other symptoms or signs of cardiovascular disease, including those from ECG or chest x-ray, should also undergo echocardiography.
• P – Patients with continuous murmurs not due to a venous hum or mammary souffle should undergo echocardiography.
• L – Longitudinal assessment of asymptomatic individuals with valvular heart disease is a central feature of their course.
• E – Echocardiography is indicated for the evaluation of patients with early, late, or holosystolic murmurs.
• R – Routine echocardiography is not recommended for asymptomatic patients with a grade 1 or 2 midsystolic murmur without other signs of heart disease.
• S – Serial echocardiography to follow the course of asymptomatic individuals with valvular heart disease is a central feature of their longitudinal assessment.
• I – Information regarding valve structure and function, chamber size, wall thickness, ventricular function, estimated pulmonary artery pressures, intracardiac shunt flow, pulmonary and hepatic vein flow, and aortic flow can be ascertained readily.
• G – Grade 3 or louder midsystolic murmurs should be evaluated using echocardiography.
• N – Normal cardiac structure and function should be verified using echocardiography in patients with noncardiac symptoms and signs.
• A – Aortic flow can be assessed using echocardiography.
• L – Longitudinal assessment of asymptomatic individuals with valvular heart disease is a central feature of their course.

Mnemonic :  DOPPLER SIGNAL