Murmur – Heart Sounds – Cardiovascular System

In normal children and adolescent

Decreases length and intensity except HOCM, MVP

Diminishes murmur except HOCM, MVP

MS, PS, MR, AR, VSD

PDA, shunt between pulmonary and subclavian artery

VSD with aortic regurgitation

Aortic stenosis

MR, VSD, TR

Gerbode effect (LV to RA shunt)