Podcasts about heart murmur

Aortic Stenosis explained clearly, including  pathophysiology and causes. Also features the aortic stenosis murmur sound, and treatment including TAVI vs SAVR. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Aortic Stenosis? 0:51 Aortic Stenosis Pathophysiology2:16 Aortic Stenosis Causes3:39 Aortic Stenosis Symptoms5:04 Aortic Stenosis Murmur 6:46 Aortic Stenosis Diagnosis7:10 Aortic Stenosis Treatment - TAVI 08:06 Aortic Stenosis Treatment - SAVRHeart sounds by:Professional Skill Builder, Copyright 2005-2015 by The Regents of the University of Michigan (https://www.med.umich.edu/lrc/psb_open/html/repo/primer_heartsound/primer_heartsound.html)License: https://creativecommons.org/licenses/by-sa/4.0/ReferencesBMJ Best Practice (2024) - “Aortic Stenosis”. Available at https://bestpractice.bmj.com/topics/en-gb/325Guy P. Armstrong*, MD -* MSD Manual Pro (2023) - “Aortic Stenosis”. Available at https://www.msdmanuals.com/professional/cardiovascular-disorders/valvular-disorders/aortic-stenosisGuillaume Marquis-Gravel, MD, Msc - AHA Journals (2016) - “Medical Management of Aortic Stenosis”. Available at https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.116.023997Please remember this video and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. 

A 35-year-old woman presents for a well-woman exam. She is without complaint, with BMI=22, and reports that she runs about 28 miles per week, 4-5 miles with each run, and has excellent exercise tolerance. She states, “I am in great health.”  On physical examination, the NP notes a faint mid-systolic click followed by a grade 2/6  mid- to late-systolic murmur, best heard at the apex. No other abnormalities are noted.  These findings are most suggestive ofA. aortic stenosisB. mitral stenosisC. mitral regurgitationD. mitral valve prolapse---YouTube: https://www.youtube.com/watch?v=etnHh0ST5XY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=46Visit fhea.com to learn more!

A systematic approach to describing heart murmurs, as well as summaries on the main valve disorders causing murmurs with corresponding audio.Heart sounds by:Professional Skill Builder, Copyright 2005-2015 by The Regents of the University of Michigan (https://www.med.umich.edu/lrc/psb_open/html/repo/primer_heartsound/primer_heartsound.html)License: https://creativecommons.org/licenses/by-sa/4.0/Easy Auscultation: https://www.easyauscultation.com/heart-soundsLicense: https://drive.google.com/file/d/1alTtvcl4sXTwPLhTYIxRps-deCVbGQRz/view?usp=drive_linkVolumes altered - no other changes made. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is a heart murmur? 1:30 Aortic Stenosis2:42 Aortic Stenosis Murmur Audio4:33 Aortic Regurgitation5:02 Aortic Regurgitation Murmur Audio6:03 Mitral Stenosis6:34 Mitral Stenosis Murmur Audio7:03 Mitral Regurgitation7:26 Mitral Regurgitation Murmur Audio7:50 Pulmonary Stenosis8:16 Pulmonary Stenosis Murmur Audio 8:44 Pulmonary Regurgitation 9:22 Pulmonary Regurgitation Murmur Audio 9:28 Tricuspid Stenosis 9:54 Tricuspid Stenosis Murmur Audio10:10 Tricuspid Regurgitation 10:23 Tricuspid Regurgitation Murmur Audio References:Amboss (2023) Cardiovascular Examination. Available at https://www.amboss.com/us/knowledge/cardiovascular-examination/Zhang, G & Cadogan, M - Life in the Fast Lane (2020) Aortic Regurgitation Eponymythology. Available at ****https://litfl.com/aortic-regurgitation-eponymythology/Lome, S - Healio S2 Heart Sound Topic Review. Available at https://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/s2-heart-soundMSD Manuals Pro (2023) Available at Search results for: murmur - MSD Manual Professional Edition (msdmanuals.com)Yartsev, A - Deranged Physiology (2018) Haemodynamic Changes During a Mechanical Breath. Available at https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter 524/haemodynamic-changes-during-mechanical-breath#:~:text=During early expiration,preload increases%2C and afterload decreasesGeeky Medics Heart Murmurs. Available at https://geekymedics.com/heart-murmurs/Ibrahim O, Sibbald M, Szczeklik W, Leśniak W. Heart Auscultation. McMaster Textbook of Internal Medicine. Kraków: Medycyna Praktyczna. Available at https://empendium.com/mcmtextbook/chapter/B31.I.1.107Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. 

Dr. Andrea Eriksson De Rezende, veterinary cardiologist, joins Dr. Andy Roark to discuss a cardiology case. Dr. Roark has an 11yo FS chihuahua with a grade V/VI systolic heart murmur that needs a dental cleaning. The patient is reportedly starting to cough at home. Dr. Roark wonders if this patient is safe for anesthesia and what sort of diagnostic workup and treatment plan would be appropriate. Dr. Eriksson lends her expertise! This episode is brought to you by CEVA Animal Health LINKS: Explore Free CE from Ceva: https://www.cevaconnect.com/ce/?utm_source=TheConeOfShame&utm_medium=podcast&utm_campaign=Susanne_cardio Cardalis Info: https://www.cevaconnect.com/cardiology/products/ Skyline Veterinary Specialists: https://skylinevetspecialists.com/ Email: andreaeriksson@skylinevetspecialists.com Dr. Andy Roark Exam Room Communication Tool Box Team Training Course: https://drandyroark.com/on-demand-staff-training/ Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Andrea Eriksson De Rezende is a native of Eugene, Oregon and completed her undergraduate studies at Willamette University in Salem, Oregon. She received her veterinary degree from Oregon State University in 2005, which was followed by a one-year rotating small animal and surgical internship at Oregon State University. She then completed a three-year residency in cardiology at North Carolina State University. Dr. Eriksson De Rezende became a Diplomate of the American College of Veterinary Internal Medicine (Cardiology) in 2009. Until mid 2011, Andrea was an assistant professor of cardiology at Virginia-Maryland Regional College of Veterinary Medicine. Andrea then moved to Brooklyn, NY to join the Veterinary Emergency and Referral group. Currently, Andrea is managing partner at Skyline Veterinary Specialists in Matthews, NC. Her research interests include management of congestive heart failure with particular interest in the renin-angiotensin-aldosterone system as well as cardiac imaging. Personal interests include cooking, travel & singing.

Katie shares her journey to motherhood while navigating anxiety and depression during her pregnancy and postpartum. Physically, she had a positive pregnancy with some round ligament pain and swelling. Katie struggled mentally with anxiety during pregnancy. She was nervous to speak up about it but her husband supported her throughout the pregnancy. Her induction went smoothly and shortly after birth, her baby was diagnosed with a heart murmur. She continued to struggle with postpartum anxiety and depression and didn't feel the connection with her baby that she thought she would. After switching cardiologists, Katie and Ryan feel they are on the right path with treatment and have an upcoming procedure scheduled. Visit our website and blog: www.thegoldenhourbirthpodcast.comFollow us on Instagram here and hereFollow us on Facebook hereIntro Song by Carpathians (Donny Rodgers): https://carpathians.bandcamp.com/track/lavaman

Dr. Anna McManamey joins the podcast to discuss heart murmurs in cats. Alabaster is a 4 year old MN domestic shorthair who is in for his first dental cleaning. On physical examination, Alabaster has a grade 2-3/6 systolic murmur. Dr. Mac breaks down what her concerns are, the risk factors and next steps to take. Let's get into it! LINKS: Retain Your Team: Speak the Languages of Appreciation in Your Workplace - May 21, 2022: https://unchartedvet.com/product/appreciation-languages-101/ What's on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. McManamey (aka Dr. Mac) is a veterinary cardiologist. She received her degree of veterinary medicine from the University of Missouri. She then completed a rotating internship at the Ohio State University followed by an emergency and critical care internship at North Carolina State University. She finished her cardiology residency at North Carolina State University and became an ACVIM diplomate in 2021. Dr. Mac is currently an assistant clinical professor at Purdue University in Indiana. Cardiology is her favorite subject because it can be made as simple or as complex as needed. Furthermore, every animal has a heart and that means Dr. Mac gets to work with all kinds of species. Her areas of interest within cardiology are echocardiogram, congenital heart disease and interventional procedures, as well as emergency management of cardiac disease. She has a very supportive and patient husband along with three canine fur-children, one of which had a patent ductus arteriosus (of course).

Shawn Jordan is the host of a new podcast called adaptive outdoorsman, which it focuses on disabled hunters, trappers and fishermen, as well as folk trying to focus in on the history of disabled outdoorsman.Check out Shawn Jordan's podcast here: https://open.spotify.com/show/49314I88D8N17sudOMsfwA  

It's so easy to become cynical in today's world. Joyce teaches on the Parable of the Sower and how it can help you view the world in a whole new way.

Sunday night 12/26/21 - Continuing our study through the book of Acts - Sermon titled "Heart Murmur In The Church" - Pastor James Eakins

Video for this podcast: https://mehlmanmedical.com/what-do-i-need-to-know-about-heart-murmur-qs In this clip I discuss how one should prepare for heart murmur Qs. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical

سوفل قلبی چیست ؟ تعریفی از نوع کارکرد ابتدایی قلب همراه با صدا های طبیعی و غیر طبیعی . تشخیص سوفل ها ، انواع آن . در نوع خود یکی از بی‌نظیر ترین پادکست هایی است که در این زمینه داخل ایران منتشر میشود .

Video for this podcast: https://mehlmanmedical.com/usmle-whats-best-way-to-deal-with-drug-ad-and-heart-murmur-qs In this clip I chat about drug ad and heart murmur Qs. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical

Today we meet Nadima who lives in Melbourne with her husband and two children. Nadima, like many of us, never imagined she would have a caesarean so when she was wheeled into theatre for an emergency caesarean this naturally came as a shock to her. She was booked in for an induction at 37 weeks due to earlier concerns with her baby's heart rate, but she actually never got to experience labour. Although Nadima doesn't describe her first birth as traumatic she knew immediately that she did not want to go through another caesarean if she could prevent it in any way. You'll hear how she prepared herself mentally and physically for her second birth which was a 51 hour long labour, and how her VBAC unfolded with her nearly 4.2kg baby.~ Notes ~VBAC Australia Support Group: https://www.facebook.com/groups/342851302473349**VBAC Birth Stories features women's lived experiences. It is not intended to replace medical advice. Should you have any concerns during your pregnancy please always consult your healthcare provider.Please connect with us on Facebook or Instagram: @vbacbirthstories

Harrison's PodClass provides engaging, high-yield discussions of key topics commonly found on rotational and board exams in internal and family medicine. 

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Julie: Hi Dr Cabral, my daughter (18) was diagnosed with Mono just before basketball playoffs in 2020. To help her with her energy levels during that time she was given a b12 injection before each game. Within a month or so she developed severe acne after never having skin issues of any kind so we feel certain it is injection related. Do you have any suggestions for clearing this type of acne. It is severe and beginning to scar her face. Thank you for your help! Julie Thomas: Hi Dr. Cabral, I recently completed the 21 day detox, and I am also in the process of achieving level one and level two IHP certification. I truly enjoy your passion and ability to teach all the material in an effective, engaging, and enjoyable way!  I wear an Oura ring to track sleep and other variables such as HRV. On day two of the 21 day detox, I noticed an obvious and significant increase in my HRV that lasted for the entirety of the 21 day period. Following the completion of the detox, I noticed my HRV settled back into my normal/pre-detox levels. The magnitude of the HRV change was roughly 20ms. My question is - To which component of the detox would you attribute the favorable increase in heart rate variability? I assume it's one or more of the ingredients in either the FM or AYU detox, but I would really appreciate any insight you can offer. Would it be recommended to use a supplement to increase HRV on a regular basis, or is it just better to focus on a holistic approach to maximize PNS activation? Thank you! Tom Savita: Hi Dr. Cabral, I'm very grateful for you and your podcast! I was wondering, what are your thoughts on the COVID-19 Vaccine. Thank you. Savita Victoria: Hi Cabral! I just learned that my 5 year old niece has a heart murmur. Do you have any recommendations she should follow for this? Currently and also growing up in effort to eventually grow out of it ? Thank you! Bethany: Hi Dr. Cabral - love your podcast and appreciate what you do for all of us. I have a question regarding my 17 year old daughter. She has recently been diagnosed with Aortic Ventricular Tachycardia and arrhythmia. My question is... can this be caused by Hashimoto's, which she has also recently been diagnosed with - her thyroid antibodies are off the chart. Additionally, any words or advice you can give regarding treatment for this to help ease our anxiety would be appreciated. It's obviously scary for us parents when anything health related is happening with our children. Thank you! Aaron: Hi Dr. Cabral! Thanks for sharing your knowledge with these podcasts. Would you discuss the difference between Vitamin D3 absorption and utilization? I have listened to a TON of your podcasts, and relistened to all the Vit D topics. You mention needing cofactors like Vit K, Mg, etc. I use 2 scoops of DNS in almond milk each morning with my 6 drops Vit D3, take Histpro, B-complex, and 1Mg at lunch, and balanced zinc with Mg at dinner. My Vit D levels with PCP won't go much above 33. (I had gone from 5 drops to 7 with no change, so settled in on roughly 35units/lbs.) I have heard others say oil based capsules are better than drops for accurate dosing. Do you recommend drops because there is some level of sublingual capillary absorption? If so, do I need to take the DNS a couple hours before Vit D so the cofactors are already in my system, ready to work? Are the cofactors primarily for absorption of Vit D into the body, or primarily for conversion of Vit D for use in the body? This question is getting long, and I hope you understand what I'm asking. Thanks again for getting deep on bio-regulatory medicine! Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!  - - - Show Notes & Resources: http://StephenCabral.com/1989 - - - Get Your Question Answered: http://StephenCabral.com/askcabral   - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -  Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Stress, Sleep & Hormones Test (Run your adrenal & hormone levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > View all Functional Medicine lab tests (View all Functional Medicine lab tests you can do right at home for you and your

Are you struggling with a heart murmur? Do you need a healing touch from God? Then this episode is for you! Listen to this testimony by Pastor Linda Budd of RiverGate Church in Tulsa Oklahoma. 

In this episode: - Child’s Heart Murmur- Runaway Teen Location- Tinnitus Healing- Cause of Rash- Will Husband Recover Please call in with your question next week. Thursdays at 8pm ET, 7pm CT, 5pm PT. (712) 775-7035 Access Code: 483620# And, please leave a five-star review and subscribe so you can hear all the new episodes. http://www.ratethispodcast.com/julie For more information go to http://www.askjulieryan.com

Heart Murmur review for your Pance, Panre and Eor’s. --- Support this podcast: https://anchor.fm/scott--shapiro/support

Seek Out God's People With Special Guest Jonathan Reid, Jonathan Reid's Testamony, 911, Military, Premature birth struggles, heart murmur, God's Work with Modern Medicine, Prodigal son, home is a safe space, raised in a bubble, seek out God's people, reach out, nobody is willing to call, but everyone is willing to judge, Isaiah 40:31, Pray for Samantha Smith Gastric Cancer, shirts or donations to her by Lindsey Marie Higgins, Facebook pay @linzmarie30, venmo @linzmarie30, paypal @linzmarie30, email higginslm30@gmail.comSupport the show (https://www.paypal.me/PJClay)

In this episode of ER VET, Dr. Justine Lee, DACVECC, DABT discusses heart murmurs in dogs and cats. Should you be concerned if your pet was just diagnosed with a heart murmur? What signs should you look out for, and how do we prevent the heart disease from getting worse? Tune in to learn all with Dr. Lee! SHOW NOTES: My Pet Was Diagnosed With a Heart Murmur! What Do i Need to Know?

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The innocent heart murmur is the topic of this week's podcast. How important is the echocardiogram in allaying parental fears and anxieties when being evaluated for a murmur? Have the days of auscultation without a secondary test fallen by the wayside? We speak with a highly experienced general pediatric cardiologist, Dr. Jared LaCorte of Staten Island Pediatric Cardiology to offer his thoughts on this week's work from Melbourne, Australia. doi: 10.1111/jpc.14775

The innocent heart murmur is the topic of this week's podcast. How important is the echocardiogram in allaying parental fears and anxieties when being evaluated for a murmur? Have the days of auscultation without a secondary test fallen by the wayside? We speak with a highly experienced general pediatric cardiologist, Dr. Jared LaCorte of Staten Island Pediatric Cardiology to offer his thoughts on this week's work from Melbourne, Australia. doi: 10.1111/jpc.14775

Connecticut Children's cardiologist Seth Lapuk, MD, joins host Patricia Garcia, MD, to discuss heart murmurs. The two physicians are joined by Hannah, a patient, and her family to discuss their experience at with the Division of Cardiology and Cardiovascular Surgery. 

  Session 06 Today, we start our board content. We thought that there is no better way to start than with the heart. As always, I'm joined by Dr. Andrea Paul from Board Vitals, a company that helps you with your board prep. They feature an amazing QBank and software platform to help you maximize your score. Save 15% off any of their QBank packages by using the promo code BOARDROUNDS at checkout. [03:11] Scenario of a Heart Murmur in a 60-Year-Old Male Case: A 60-year-old male is undergoing evaluation for a heart murmur. He's asymptomatic and his physician discovers a holosystolic murmur at the cardiac apex. The frequency of that murmur is increased when he expires and an echo confirms that there's a diagnosis to be found. Question: Compared to a normal patient, which of the following hemodynamic changes would be most likely present? Note: This involves multi-steps where you have to figure out from the murmur and it's confirming there is something so you could look at the murmur and decide what you think the diagnosis is. From there, you go one step further and say what physiologic effect that would have. [04:10] Knowing the Types of Murmur First, you have to know the types of murmurs out there. Holosystolic means that the murmur is present during the entire systole phase. There are some that fade off before the end or would just be a click sound at the beginning of systole. Holocystolic refers to the sound that is present the entire time. It can be one consistent sound for all systole or maybe it's something that starts at an increased volume or decreases. So you're left with different options. In this case, it says it's in the cardiac apex. You have to look at other components like the student's age to determine what exactly is causing the murmur. But here we're lucky since they're telling us here that it's right in the apex. [06:35] Mitral Valve Regurgitation When you're hearing this whole systolic murmur at the cardiac apex, you immediately start to think of mitral valve. When you look at the diagram, you will find different areas where you can picture where the apex of the heart is and what would be causing a sound in that direction. If you're visual, you can picture the mitral valve in the direction of the flow. If it weren't functioning properly, it would be right to the apex of the heart. So this would lead you to suspect mitral valve regurgitation. Another thing you can think of is mitral stenosis, however, that's diastolic so it would be heard in a similar area at a different time. Other things to think of when you have mitral valve regurgitation is that it kind of fits with the patient. If the question had said something about an irregular pulse or displaced apex, that would be the first thing that would fit with mitral valve regurgitation as well. Although the patient here is asymptomatic, common symptoms would be rhematic fever, palpitation, fatigue, shortness of breath, and it can go as far as having signs of heart failure. So any of those components in any combination could be present in the question that would lead to the same answer in the end. [09:25] Answer Choices A Increased after load B Decreased pre-load C Increased ejection fraction D Decreased ejection fraction E Decreased contractility Now, you have to understand what all of those components mean. In most cases, mitral valve regurgitation would be easily heard during expiration. This specific murmur isn't one that is always so strongly correlated. But this is something to keep in mind that expiration is more positive pressure down on the heart, more pressure on the ventricle and potentially easier to have a bit more of regurgitation. [11:11] Understanding the Terms: Afterload Afterload is the pressure against which the heart is working to eject the blood during systole. It's a systolic murmur so this is the one we're hearing here. And it's the component where the answer option is asking whether there would be increased afterload. In this case, that would not be correct since we're having regurgitation. Afterload does have an effect on the stress volume because the maximum pressure of the heart that can develop becomes smaller when there's volume inside the ventricle. During the systolic phase of the heart, this afterload is the pressure that's coming on the blood way out of the heart. As you're contracting, that mitral valve cannot hold itself shut. And you're having that regurgitation coming back in the opposite direction. [13:04] Understanding the Terms: Afterload and Ejection Fraction The preload is the filling pressure of the heart at the end of diastole. Once it's filled, the left atrial pressure at the end of diastole. We imagine Starling's Law which states that the heart is going to eject to a greater volume if it's filled to a greater volume at the end of diastole. That relationship can be modified by contractility in the afterload that would affect what ends up resulting. Ejection fraction is just the percentage of the blood left in the ventricle after a contraction. So if you have systole, the ventricles contract. 50% remains and that's the ejection fraction. [14:30] Causing Ejection Fraction After you've determined that it's mitral valve regurgitation, you can look at the electrocardiogram. We have shown that since the patient has no symptoms, probably compensating for this is a chronic disease that's why he's not coming in with any specific symptoms other than the murmur heard. Most likely, he has dilated his left atrium or left ventricle to compensate. Most patients with chronic mitral valve regurgitation have that. Then you have this retrograde flow happening over that mitral valve. So you would probably see a slight decrease in his afterload because of the resistance across that valve. The most likely though is you would see increased ejection fraction. [16:20] Starling's Law Think of the volume of the heart at the end of the diastole phase. That's going to give you a filling pressure, which is the preload. You would see that if you have that increased volume and pressure of blood in there to start with, that's going to lead to increased volume in systole and it affects contractility and afterload. But it's just sort of a volume and pressure play and less to do with the actual muscle fibers. If you look overall the spectrum of clinical cases, you can see mostly that it all comes down to volume and pressure. [17:45] More Options to Think Through This question is great because it brings up not just all the different types of murmurs that you have to run through but it also gives you all those different scenarios to think through for all the different murmurs. So you would have to go through all these options and assess each. If you just think through where is blood flowing during what phase of the cardiac cycle, you can almost figure out which answer you can immediately eliminate. This is the nice thing about cardiac physiology is that once you can think through oeach of the different causes of the murmur and think about afterload and preload and each one, it's something you probably won't forget because you've made sense of it, and not just memorized it. [19:55] Some Tips to Help You Study Effectively There are mnemonics you can use for the different types of murmurs so it's easier for you, like to know which sound and during which phase can lead to whether mitral stenosis or mitral valve regurgitation or aortic regurgitation. So if you're someone who can easily figure out how to memorize this then this is something you can jot down for sure. Moreover, rheumatic fever can also be something to consider that can cause aortic stenosis as well. If you know the basics and you know how to recognize mitral regurgitation and understand the physiology behind it, then you'll be able to lead yourself to any of those types of questions. Again, understand the causes of any of these murmurs. Know the signs. For instance, in aortic stenosis, that slow rising pulse is going to be in the question almost definitely, since that's one of those really unique cardinal signs of aortic stenosis, or the opposite is the collapsing pulse in aortic regurgitation. Knowing some of those clinical signs is super helpful in these types of questions. Links: Board Vitals (Save 15% off any of their QBank packages by using the promo code BOARDROUNDS at checkout.)

Heart murmurs are abnormal heart sounds that are caused by various types of structural defects of the heart valves and or muscular wall of the heart.  Recognizing heart murmurs early and having them checked regularly for progression and initiating proper diagnostics to know when to begin treatment before there is advanced disease. Veterinarian co-hosts Dr. Roger Welton and Dr. Karen Louis delve into heart murmurs, what they are, what they mean, and how pet owners should approach them.  For more contact from Dr. Roger and Dr. Karen, respectively, visit the respective blogs at Web-DVM.net and VetChick.com.  

Martin Brady was a runner from an early age but at age 24 he discovered something startling -- he was born with a bicuspid aortic valve. Join us as Martin shares what happened to him after he discovered he had this birth defect, how he prepared himself for the inevitable and what consequences he's endured since having his heart valve replaced. Martin has submitted an essay for the 2nd book in the Cardiac Athlete series by Lars Andrews. To purchase the first book in the series, go to this link (and you'll also help out Hearts Unite the Globe -- the nonprofit that provides this podcast free of charge to Listeners): https://smile.amazon.com/Cardiac-Athletes-Superheroes-Beating-Disease/dp/0993038905/ref=sr_1_2?ie=UTF8&qid=1505177810&sr=8-2&keywords=cardiac+athletes+lars+andrews Support the show (https://www.patreon.com/HearttoHeart)

Tune in to hear Richard Gardner talk to Anna about his journey from athlete to discovery that his heart had a valve problem to having open-heart surgery and then his decisions regarding exercise following his surgery. Listen to the compromises he had to make and how he feels about those compromises. Richard Gardner will be participating in the 2nd book in the Cardiac Athlete series by Lars Andrews. To purchase the first book in the series, go to this link (and you'll also help out Hearts Unite the Globe -- the nonprofit that provides this podcast free of charge to Listeners): https://smile.amazon.com/Cardiac-Athletes-Superheroes-Beating-Disease/dp/0993038905/ref=sr_1_2?ie=UTF8&qid=1505177810&sr=8-2&keywords=cardiac+athletes+lars+andrews Support the show (https://www.patreon.com/HearttoHeart)

Barry Stone is a very special Cardiac Athlete™. At 74 years old he is a triathlete who has loved athletics all his life. Tune in to hear him share about his life, his challenges, what it was like to be told he had a "heart murmur" in his 30s and what they did about it as well as other problems that cropped up over the years. You'll hear his advice for Cardiac Athletes and how he feels about cardiac rehabilitation.Support the show (https://www.patreon.com/HearttoHeart)

"Do You Have a Heart Murmur?" - Rev. JoAn Kinrade

This heart murmur is commonly found in practice but what causes it?

Provena Covenant Emergency Department Physician discusses heart murmurs