Hypertrophic Obstructive Cardiomyopathy: Heart Murmur • Occurs during systole • Crescendo-decrescendo murmur • Heard best left lower sternal border • Radiates aortic/mitral areas • Increase intensity; reductions in afterload and venous return (standinq, Valsalva manoeuvre, dehydration) • Decrease intensity: elevations in afterload and venous return (squatting, leg elevation, handgrip) #Hypertrophic #Obstructive #Cardiomyopathy #Heart #Murmur #Cardiac #Cardiology #Diagnosis #HOCM