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Published on: December 2, 2014
Physical determinants of systolic murmur intensity in aortic stenosis
Rafael Kuperstein1, Micha S Feinberg, Michael Eldar
1Heart Institute, Sheba Medical Center, Tel Hashomer, Israel. grafikup@netvision.net.il
Abstract:
We investigated which physical parameter has the greatest impact on the perceived loudness of a systolic murmur in aortic stenosis. Loudness of murmur in aortic stenosis correlated best with peak momentum transfer--and thus with body size--so that loud murmurs predict severe disease less reliably in larger patients.
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Heart Sounds
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...

