gordon
Forum Newbie
Topics: 5
Posts: 27
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Here is an easy way to remember everything about cardiac murmur and maneuvers:
1. The are four systolic murmurs of concern: MR, VSD, AS and HOCM.
2. The are five manuevers: Remember this mnemonic:
VA-LSH ( Valsalva, AmylNitrate, Leg raising, Squatting, Handgrip-also called Phenylephrine)
3.The next step is to remember the response to maneuvers for HOCM. Please remember that out of VALSH, VA-cause increase in the murmur of HOCM, -LSH cuase decrease in the murmur of HOCM.
4. Except for V and L all the responses of AS ( aortic stenosis) are the same as HOCM. That is AS murmur too increase with A and decrease with SH. For V and L the response is opposite with HOCM, that is the AS murmur decrease with V and increase with L.
5. The response for MR and VSD is totally the opposite that of HOCM except for squatting which does not affect the murmur of MR and VSD.
Legend:
MR: Mitral Regurgitation
VSD: Ventricular Septal Defect
HOCM: Hypertrophic Obstructive Cardiomyopathy
AS: Aortic Stenosis
V: Valsalva Manuever
A: Armyl Nitrate
L: leg raising
S: Squatting
H: Hand Grip, also called Phenylephrine
Please go through a couple of times and scribble it without watching. It will work. Cheers!
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| kpmle2
Forum Elite
Topics: 29
Posts: 290
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thanks a lot gordon. Its very helpful
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| Ivonne
Forum Guru
Topics: 53
Posts: 1,403
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Nice Gordon, Thanks
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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Thanks~
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| Dr.D
Forum Senior
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Posts: 191
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Thanks, Gordon
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| dr confused
Forum Senior
Topics: 66
Posts: 107
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thanks sooooooooo much!!
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| springbird
Forum Newbie
Topics: 6
Posts: 33
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How does handgrip work? decrease or increase the preload? Isn't it the same as leg rasing??
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| titly
Forum Elite
Topics: 17
Posts: 290
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gordon i was trying to find some easy way to rem this yest. thanx a ton!!
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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