Systolic Murmur Guide

Introduction

This page provides an introduction to Systolic Murmurs.

Our systolic murmurs course can be found in this course. Secondly, our reference index is designed to provide quick access to stridor sounds, with audio tracks, listening guides and waveforms. Use this link for quick reference to heart and lung sounds.

Definition

Listen

Listening Tips

Audio Playback

The patient's position is sitting.

Waveform

Heart Sounds Reference Guide

Our auscultation reference guide provides quick access to this sound as well as many other adventitious sounds. Each sound is described also with an audio recording and waveform.

Heart Sounds Reference Guide

Quick Links to Auscultation Sounds

While we have many breath sound lessons and quick references on this website. Please use the links below.

Vesicular Breath Sounds
Bronchial Breath Sounds
Adventitious Breath Sounds
Adventitious Lung Sounds
Wheezing
Rhonchi
Fine and Coarse Crackles
Rales
Egophony
Auscultate
Auscultation Lung Sounds Audio

Related Lessons

Basics of Lung Sounds
The goal of this basic course in lung sounds is to improve auscultation observational skills. We focus on describing important breath sounds and in providing recordings of each. Many students find that waveform tracings aid in learning lung sounds; we have included dynamic (moving cursor) waveforms with each lesson. The anatomy pages use illustrations to reveal an example of each lung sound (anatomy not yet available on smartphones).

Lesson List

1	Vesicular - Normal
2	Crackles - Fine (Rales)
3	Crackles - Coarse (Rales)
4	Wheeze
5	Rhonchi - Low Pitched Wheezes
6	Bronchial
7	Pleural Rubs
8	Bronchovesicular

Intermediate Lung Sounds
The goal of this intermediate course is to expand your observational skills when auscultating breath sounds. The course lessons include voiced sounds: bronchophony, egophony and whispered pectoriloquy. We also provide auscultation lessons on several types of wheezes, crackles and stridor. Each of these lung sound lessons includes audio, text and dynamic waveform. The anatomy pages use illustrations to reveal an example of each lung sound (anatomy not yet available on smartphones).

Lesson List

1	Vesicular - Diminished
2	Bronchophony - Healthy
3	Bronchophony - Abnormal
4	Egophony - e
5	Egophony - a
6	Whispered Pectoriloquy - Healthy
7	Whispered Pectoriloquy - Abnormal
8	Wheeze - Expiratory
9	Wheeze - Monophonic
10	Wheeze - Polyphonic
11	Crackles - Early Inspiratory (Rales)
12	Crackles - Late Inspiratory (Rales)
13	Stridor

Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Lung sounds provided by Diane Wrigley, PA
Heart sounds mentorship by W. Proctor Harvey, MD>
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 12/14/2022

Sources

Heart Sounds and Murmurs Across the Lifespan (with CD) by Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
Heart Sounds Made Easy with CD-ROM: (with CD-ROM) 2nd Edition
Anthony P. Salmon
ISBN-13: 978-0443069079
NCBI Review of Heart Sounds and Murmurs: A Practical Guide
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds And Murmurs Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429
Ventricular Function Curves in the Exercising Dog
JONATHAN KEROES , ROGER R. ECKER , and ELLIOT RAPAPORT
Circulation Research, Vol. 25, No. 5
Electrocardiographic changes associated with ritodrine-induced maternal tachycardia and hypokalemia American Journal of Obstetrics Gynecology, VOLUME 154, ISSUE 4, P921-923, APRIL 01, 1986
Susan K Hendricks, MD, Jonathan Keroes, MD, Michael Katz, MD
A Multimedia Guide to Heart Sounds and Murmurs
January 2007 JAMA The Journal of the American Medical Association 297(2):217-218
DOI:10.1001/jama.297.2.217. M. Saleem Seyal, MD, Reviewer
Clinical Heart Disease W Proctor Harvey, MD