Bising Jantung Inosen yang Sering Dijumpai pada Anak-Anak
Type (Timing) | Description of Murmur | Age Group |
---|---|---|
Classic vibratory murmur (Still's murmur) (systolic) | Maximal at MLSB or between LLSB and apex | 3–6 yr |
Grade 2 to 3/6 | Occasionally in infancy | |
Low-frequency vibratory, “twanging string,” groaning, squeaking, or musical | ||
Pulmonary ejection murmur (systolic) | Maximal at ULSB | 8–14 yr |
Early to midsystolic | ||
Grade 1 to 3/6 in intensity | ||
Blowing in quality | ||
Pulmonary flow murmur of newborn (systolic) | Maximal at ULSB | Prematures and full-term newborns |
Transmits well to the left and right chest, axilla, and back | ||
Grade 1 to 2/6 in intensity | Usually disappears by 3–6 mo of age | |
Venous hum (continuous) | Maximal at right (or left) supraclavicular and infraclavicular areas | 3–6 yr |
Grade 1 to 3/6 in intensity | ||
Inaudible in the supine position | ||
Intensity changes with rotation of the head and compression of the jugular vein | ||
Carotid bruit (systolic) | Right supraclavicular area and over the carotids | Any age |
Grade 2 to 3/6 in intensity | ||
Occasional thrill over a carotid |
Pediatric Cardiology for Practitioners 5th Edition by Myung K. Park (Elsivier) 2008
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