Here is a quick mnemonic “ATRIAL PRESSURE“ to remember about Holosystolic Murmurs
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
Holosystolic Murmurs : How To Remember Easily ?
· A – Apical holosystolic murmur is indicative of chronic MR.
· T – TTE (Transthoracic Echocardiogram) is warranted for further characterization.
· R – Rheumatic scarring and mitral annular calcification are associated with chronic MR.
· I – Increase in left atrial pressure is small in chronic MR.
· A – Apical displacement of the papillary muscles worsens the severity of MR.
· L – Left atrial compliance is normal or increased in chronic MR.
· P – Postinfarction left ventricular remodeling is associated with an apical holosystolic murmur.
· R – Right ventricular dilation can result in secondary TR.
· E – Ebstein’s anomaly is a cause of primary TR.
· S – Severity of MR can lead to left ventricular apex displacement and diastolic filling complex.
· S – Softer holosystolic murmur is generally heard in chronic TR.
· U – Use Carvallo’s sign to identify TR (increase in intensity with inspiration).
· R – Right ventricular remodeling can lead to secondary TR.
· E – Enlargement of jugular venous waveforms is seen in the absence of an audible TR murmur.
Mnemonic : ATRIAL PRESSURE