Still murmur?
In normal children and adolescent
Valsalva maneuver?
Decreases length and intensity except HOCM, MVP
Standing?
Diminishes murmur except HOCM, MVP
Hand grip increases?
MS, PS, MR, AR, VSD
Continuous murmur?
Continuous murmur?
PDA, shunt between pulmonary and subclavian artery
Continuous murmur NOT seen in?
VSD with aortic regurgitation
MC cause of midsystolic murmur in adult?
Aortic stenosis
Pansystolic murmur?
MR, VSD, TR
Murmur heard in utero?
Gerbode effect (LV to RA shunt)
