Cardiac Auscultation - Murmur Intensity Grading Grade 1 Audible with a good stethoscope in a quiet room Grade 2 Quiet but readily audible with a stethoscope Grade 3 Easily heard with a stethoscope Grade 4 Loud, obvious murmur with a palpable thrill Grade 5 Very loud, heard not only over the pericardium but elsewhere in the body Grade 6 Heard without stethoscope #Cardiac #Auscultation #Murmur #Intensity #Grading #diagnosis #cardiology #physicalexam
