Here is a quick mnemonic “MID SYSTOLIC MURmur“ to remember about Mid-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
Mid-Systolic Heart Murmur : How To Remember Easily ?
- M – Midsystolic murmurs begin at a short interval after S1.
- I – Intensity of the murmur may vary from beat to beat.
- D – Differentiation from other murmurs can be difficult.
- S – Severity of AS murmur varies with cardiac output.
- Y – Young adults with congenital valvular AS may have an early ejection sound.
- S – Sustained left ventricular apical impulse and S4 may be present.
- T – Thrill at the second right intercostal space suggests severe AS.
- O – Obstructive form of HOCM produces a hybrid murmur.
- L – Loudest along the left sternal border or between the left lower sternal border and the apex.
- I – Intensity of the HOCM murmur may increase with certain maneuvers.
- C – Crescendo-decrescendo murmur of congenital PS is best appreciated in the pulmonic area.
- M – Midsystolic murmur associated with MVP has specific distinguishing features.
- U – Upper left sternal border murmur can be caused by ASD or pulmonary artery dilation.
- R – Right ventricular hypertrophy indicates severe pulmonic stenosis.
- M – Midsystolic murmur with fixed splitting of S2 suggests an ASD.
- U – Unexplained grade 2 or 3 midsystolic murmur may require further evaluation.
- R – Rheumatic heart disease can cause midsystolic murmurs
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Mnemonic : MID SYSTOLIC MURmur
