101. Hypertension In Diabetes Mellitus Examination of valve murmurs. Detailed topics such as characteristics, timing, severity, causes and management. http://www.fpnotebook.com/CV82.htm

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102. Resource Removed From Server Cardiology CME presents 4 heart sounds for our listening. http://www.kumc.edu/instruction/medicine/cont-ed/infotech/car-mur.htm

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103. Busy Builders Gerard Martin, M.D. discusses issues of your child's heart murmur, including innocent and pathological murmurs and testing. http://www.washingtonparent.com/articles/9812/murmurs.htm

Washington Parent Magazine The Meaning of Murmurs Gerard Martin, M.D. Your pediatrician tells you that your child has a heart murmur. You react with fear and surprise and are quick to ask, "What does this mean and is my child in danger?" This can be a very frightening situation for new parents because they believe a heart murmur is a sign of a very serious condition. However, about 90 percent of normal children in the first five years of life are noted to have murmurs. A heart murmur is simply an extra sound that the heart makes. A normal beating heart makes two distinct sounds. The first sound, or the "lub", occurs when the valves between the upper (atria) and lower (ventricles) chambers close. These valves close after the ventricles fill with blood and begin to contract. The second sound, or the "dub", occurs when the valves between the ventricles and major arteries close. These valves close after the ventricles have finished pumping. A murmur is a sound made by turbulent blood flow and is heard between the other, normal heart sounds. Murmurs can be innocent, normal sounds or pathologic, abnormal sounds. I usually tell parents to think of murmurs as the sound of water flowing through pipes after the faucet is turned on. The sound may be a normal flow, a leaky faucet or a blocked faucet.

104. Common Heart Sounds Fred Leong M.D looks at common heart sounds and murmurs in infants, innocent murmurs, pathologic murmurs, and diastolic continuous murmurs. Audio as well to hear the heart sounds. http://www.rain.org/~landon/Heartweb/index.html

Prepared by: Fred Leong M.D. Pediatric Cardiogist for the Pediatric Diagnostic Center For Patients, Parents, and Professionals To contact us: Landon Pediatric Foundation 3400 Loma Vista Road Suite 1 Ventura, Cal;ifornia landon@rain.org

105. Health & Wellness Info From WWW.bcbsga.com Provides an overview of murmurs of the heart, discussing what it is, are they serious, and how they are treated. http://www.bcbsga.com/healthWellness/articles/wellAware/art_WA_010.htm

BACK Murmurs of the Heart You're having a routine checkup when the doctor notices something while listening to your chest through the stethoscope. The doctor says you have a heart murmur, and she would like to check it out further. What Are Heart Murmurs? A heart murmur is an extra sound made by blood flowing through the heart valves in the different chambers of your heart. Normally, the heartbeat makes a "lubb-dupp" sound. The "lubb" occurs during systole with closure of the valves separating the upper and lower parts of your heart (the atria and the ventricles respectively). The "dupp" is heard during diastole when the valves close between the ventricles and the large blood vessels (aorta and pulmonary artery) that receive blood from the heart. often a "swish" sound occurs somewhere during the "lubb-dupp" of the normal heartbeat. With his or her training and experience in evaluating heart murmurs, by listening carefully to the timing and characteristics of the extra sound, your physician often can tell whether it represents a potentially serious problem. Are Murmurs Serious?

106. The Auscultation Assistant - Hear Heart Murmurs, Heart Sounds, And Breath Sounds Presented are audio of numerous heart sounds and murmurs. http://www.wilkes.med.ucla.edu/intro.html

The Auscultation Assistant provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills. Since its creation in 1997, it has logged over 175,000 visits. Christopher Cable, MD Thanks to for providing the tools to record some of the sounds In association with

107. Heart Murmur Washington Parent Magazine Gerard Martin, MD discusses issues of your child sheart murmur, including innocent and pathological murmurs and testing. http://www.health-nexus.com/heart_murmur.htm

Health-Nexus.Net Health-Nexus.Org The #1 Health information site Home ... Up Search Health-Nexus for: Match ALL words Match ANY word Email this page to a friend ! Post a question or comment on our Message Board Home Page Health Specialties Health News ... Alternative Health Options Substance Abuse Animal Health Search: Books Magazines Video Keywords: Find it Here Heart Murmur Information for Families and Patients:Educational Information:Innocent Heart Murmur Home Information for Patients and Families Information for Medical Professionals Information for Trainees and Students Children's Hospital of New Mexico Educational Information: Innocent Heart Murmur. Functional Heart Murmur A brief discussion on this topic. Thriveonline: Dear Dr. Bill Answers the question: What is a heart murmur? How to find Pediatric Heart Murmur Online health advice. Pediatric Heart Murmur. Begin with Heart Murmur Information from Your Family Doctor What parents should know regarding a normal heart murmur, and what does it mean. Discusses when it is a sign of a problem.

108. The Original Holisticat (TM) FAQs - Heart Problems Usually kitty s vet can tell by listening to the heart with a stethoscope.murmurs are graded from I to VI based on the severity of valve damage. http://www.holisticat.com/hcm.html

Heart Problems Contact Authors: Sandy and Jean the information provided below is not intended to replace or override the advice of your veterinarian. Both the author and the site owner assume that this information will be used to work with your vet in planning the best treatment plan for your cat WHAT IS A HEART MURMUR? HOW IS A HEART MURMUR DIAGNOSED? WHAT IS CARDIOMYOPATHY? IS A HEART MURMUR CAUSE FOR CONCERN? ... WHAT ARE THE SIGNS OF CHF? WHAT IS A HEART MURMUR? A heart murmur occurs when there is turbulence to the normal flow of blood through the chambers of the heart, and is usually due to a problem in a heart valve. When a valve is thickened or damaged and unable to close fully, some of the blood escapes around the valve. A vet can hear a squishing sound which confirms that blood is leaking out of the heart valves during contraction. Murmurs are usually seen in older cats but it is not uncommon to see them in a young kitties. In fact, many kittens are born with murmurs and outgrow them later in life. A lot of cats with murmurs live long healthy lives. There is a small risk that murmurs can lead to congestive heart failure. When older pets have a valve related murmur, the incomplete valve closure is often due to bacterial deposits on the valves. A very common source of this bacteria is dental disease, so it's important to keep your kitty's teeth and gums in good condition.

109. Innocent Murmurs What makes a heart Murmur Innocent? murmurs arising from the right heart arealtered by variation in systemic venous return due to respiration. http://home.coqui.net/myrna/murmur.htm

What makes a Heart Murmur Innocent? HOW TO DESCRIBE A MURMUR. The table below describes 10 characteristics that can be described regarding each heart murmur. Most problems arise when trying to describe the shape: judge variation of intensity of the murmur; it may build-up(crescendo), rise and then fall (crescendo-decrescendo), decrease from a loud onset (decrescendo), or remain relatively constant (plateau). Murmur Descriptions Timing Locations Intensity Duration Frequency Shape Quality Radiation Effect of Respiration Response to Intervention INNOCENT MURMURS. SUPRACLAVICULAR SYSTOLIC MURMUR. This murmur begins after the first heart sound and is best heard underneath the right clavicle. The murmur generally is grade II but can be grade III and usually is of short duration, occupying less than one half of systole. Murmur frequency is low and is diamond shaped with a somewhat noisy quality. The murmur radiates towards the neck particularly on the right. Respiration has no effect. The murmur intensity decreases significantly when the child sits with the shoulders hyperextended by bringing the arms behind the patient. This murmur is caused by turbulence in the major brachiocephalic arteries as these vessels arise from the aorta. Differential diagnosis is seldom a problem; the murmur of aortic valve stenosis may come to mind, but can easily be distinguished by its specific characteristics as well as the presence of an aortic ejection sound. INNOCENT CONTINUOUS MURMUR.

110. Heart Murmur Subscribe now . heart Murmur. People can also have murmurs that remain unchangedfor years and never lead to heart problems or require valve surgery. http://healthlink.mcw.edu/article/880000049.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: Cardiac/Heart By keywords: heart murmur valve endocarditis Receive Health Link via email! Subscribe now >> Heart Murmur Q: My daughter, who is 39 years old, was told by her physician at her last yearly exam that she has a heart murmur caused by a faulty valve. The only advice he gave her was to treat a strep throat seriously, if she would have one. I am concerned about this and feel it should be looked at more closely. I, myself, have had an artificial heart valve since 1983, and I would like to take her with me on my next appointment to my cardiologist. What is your opinion? A: When listening to the normal heart with the stethoscope, there should be two sounds"lub dub." These are the sounds made when the 4 heart valves close: the tricuspid and mitral close at the same time making the "lub" sound, and the pulmonary and aortic close during the "dub" sound. Murmurs are swishing sounds created when there is a narrow opening because the valve is scarred or diseased and the blood has to force its way through, or when the valve doesn't close tightly and blood is leaking backwards. There can also be innocent murmurs, especially in children, when an extra sound is heard, but the valve is really fine. People can also have murmurs that remain unchanged for years and never lead to heart problems or require valve surgery.

111. Heart_Murmur - HeartCenterOnline For Patients: Heart Health Encyclopedia American heart Association member edited encyclopedia article on heartMurmurs. Includes signs and heart Murmur. (Cardiac Murmur, Murmur http://www.heartcenteronline.com/myheartdr/Common/gotoWhere.cfm?topicID=852&ArtI

112. TICA: Veternarian Column Feline heart Murmur. The Question I just took my 10 week old kittenfor her first exam and vaccinations and was told that she has http://www.tica.org/vet/vet95.htm

Feline Heart Murmur The Question: I just took my 10 week old kitten for her first exam and vaccinations and was told that she has a significant heart murmur (rated a 5 on the 1-6 scale). The doctor said she was probably born with it and could live a few months to a few years. I can't afford a lot of expensive tests and treatments but want to keep her as healthy and comfortable as possible. At this time she shows no signs of ill health and has as much energy as her brother. What kinds of symptoms should I watch for and what kind of prognosis are we looking at? The Answer Heart disease carry a certain set of signsThe animal usually is not very activeand breathes hard when excessively stressed or exercised. They may retain fluid and feel puffy. May times, if you watch closely, you you can see the jugualr vein pulsing in their neck (depending on the type of murmur). The cat's membranes may be bluer than normal and the heart rate is faster. Sometimes the murmurs kittens have close up and get better as they get older. They are usually less than grade 5but if is possible that your kitten may get better with time. If not the signs above will get worse until the kitten goes into CHF and you lose it. There are diuretics and heart meds that can prolong life and quality of life that are not too expensiveyou may want to look into them. Dr. Diana Scollard

113. HEART MURMUR heart MURMUR. The Question. Dear Doctor, My twelve week old kitten was diagnosedwith a heart murmur during her first visit to the veterinarian. http://www.tica.org/vet/vet176.htm

HEART MURMUR The Question Dear Doctor, The Answer Many kitten outgrow murmursit does depend upon what is causing it. If you are concerned ask your vet about seeing a heart specialistthey have an ultrasound which will actually show the heart beating and you can see how severeand where the murmur is. This could better help you decide on surgery, and other issues that will affect her. Diana Scollard Home Page Frames Page TICA Executive Office and Officials TICA Cattery Email Addressses ... TICA Webmaster

114. Resource Removed From Server The files in this directory have been permanently removed from this server. http://www.kumc.edu/instruction/medicine/cont-ed/infotech/car-ekg.htm

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