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 #Systolic #Murmurs #Cardiology #Differential #Diagnosis #Algorithm #causes