early diastolic murmur

Last reviewed 01/2018

Early diastolic murmurs:

  • aortic regurgitation - maximal at the 4th interspace below the aortic valve. If the aorta is dilated then heard higher and to the right of the sternum. Maximal if the patient leans forwards. Radiates to the back.
  • pulmonary regurgitation - maximal about the third left space.
  • these murmurs are best heard if the patient momentarily holds his breath in expiration.