Diastolic murmur


A patient has mixed aortic valve disease. How could you make the diastolic murmur in this case louder?

  • Roll the patient into the left lateral position
  • Lie the patient flat
  • Listen in expiration
  • Listen in inspiration
  • None of the above

Listen in expiration.

In mixed aortic valve disease the stenotic murmur will give a systloic noise (ESM) and the aortic regurgitation will produce a diastolic murmur. The murmur of AR is heard best with the patient sat forward listening at the left sternal edge in expiration.