The maverick heart sound

    loading  Checking for direct PDF access through Ovid


Clinical introduction

An asymptomatic 29-year-old woman presented for prenatal counselling. She had a history of a heart murmur since childhood and a previous echocardiogram suggesting ‘enlargement of the heart’. Physical exam revealed normal jugular venous pressure and contour. Precordial palpation was unremarkable. Auscultation, however, was abnormal; findings on inspiration and expiration are presented in Figure 1, sound clip.


Based on the phonocardiogram and online supplementary audio clip, which of the following is correct?

Related Topics

    loading  Loading Related Articles