Murmurs become louder during Valsalva maneuver

Murmurs become louder during Valsalva maneuver

Murmurs become louder during Valsalva maneuver

Murmurs become louder during Valsalva maneuver

Murmurs become louder during Valsalva maneuver

Valsalva maneuver:

Most murmurs decrease in length and intensity.

Two Exceptions

• Systolic murmur of HOCM – which usually becomes
  much louder
• Murmur of MVP – which becomes longer and often louder

After release of the Valsalva maneuver

• Right-sided murmurs tend to return to baseline intensity earlier than left-sided murmurs.

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