Pulmonary Flow Murmur crescendo-decrescendo, early to mid-systolic Increases Intensity: Laying supine, hyperkinetic circulatory states (e.g., anemia, fever, hyperthyroidism, pregnancy) Decreases Intensity: Sitting up or standing, maneuvers that decrease preload (e.g., Valsalva) #Pulmonary #Flow #Murmur #Cardiac #Cardiology #Diagnosis