Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
• Pregnancy
• Fever
• Anemia
Supravalvular Stenosis:
• Aortic Coarctation
• Supravalvular Aortic Stenosis (rings, webs)
Subvalvular Stenosis:
• Hypertrophic Obstructive Cardiomyopathy
• Subvalvular Aortic Stenosis (rings, webs)
Aortic Stenosis:
• Uni-/Bicuspid
• Degenerative (Tricuspid)
• Rheumatic Heart Disease
Pulmonary Stenosis
Mitral Regurgitation - Leaflet/Annulus
• Prolapse
• Dilated cardiomyopathy
• Endocarditis
• Hypertrophic Cardiomyopathy
• Rheumatic Fever
• Marfan's Disease
Mitral Regurgitation - Chordae Tendinae
• Rupture
• Endocarditis
• Rheumatic Fever
• Trauma
Mitral Regurgitation - Papillary Muscle Dysfunction
• Ischemia
• Infarct
• Rupture
Tricuspid Regurgitation - Dilation of Right Ventricle/Annulus
• Dilated cardiomyopathy
• Pulmonary Hypertension
Tricuspid Regurgitation - Leaflet
• Prolapse
• Endocarditis
• Rheumatic Fever
• Ebstein's Anomaly
• Carcinoid
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