Louder / Radiating (systolic or diastolic)
systolic murmurs
Radiates to the axilla
Mitral regurgitation
Systolic / loud, blowing / apex
Mitral regurgitation
Radiates to the neck
Aortic stenosis
Increased risk of sudden death
Aortic stenosis
Low pitched, rumbling with “opening snap”
Mitral stenosis
High pitched, blowing
Aortic regurgitation
First grade with a thrill present
Grade IV