Murmur
Murmur is a term used in medicine to describe a specific sound heard during the auscultation of the heart. It is typically associated with the turbulent flow of blood, which may occur as a result of various heart diseases or conditions.
Types of Murmurs
There are several types of murmurs, each with its own unique characteristics and potential causes. These include:
- Systolic murmur: This type of murmur occurs during the systolic phase of the cardiac cycle, when the heart is contracting to pump blood out into the body. It is the most common type of murmur and can be caused by conditions such as mitral regurgitation or aortic stenosis.
 
- Diastolic murmur: This type of murmur occurs during the diastolic phase of the cardiac cycle, when the heart is relaxing and filling with blood. It is less common than systolic murmurs and is often indicative of serious heart disease.
 
- Continuous murmur: This type of murmur occurs throughout the entire cardiac cycle, without a pause between the systolic and diastolic phases. It is often caused by abnormal connections between the arteries and veins near the heart.
 
Causes of Murmurs
Murmurs can be caused by a variety of conditions, including:
- Heart valve disease: This includes conditions such as mitral valve prolapse, aortic stenosis, and tricuspid regurgitation, which can cause the heart valves to function improperly and lead to turbulent blood flow.
 
- Congenital heart defects: These are abnormalities in the structure of the heart that are present at birth. They can cause abnormal blood flow and result in a murmur.
 
- Cardiomyopathy: This is a disease of the heart muscle that can cause the heart to pump blood less effectively, leading to a murmur.
 
Diagnosis and Treatment
The diagnosis of a murmur typically involves a physical examination, during which a doctor will listen to the heart with a stethoscope. Further testing, such as an echocardiogram, may be needed to determine the cause of the murmur.
Treatment for a murmur depends on its cause. In some cases, no treatment may be necessary. In others, medication or surgery may be required to address the underlying condition causing the murmur.
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Contributors: Prab R. Tumpati, MD