Page 201 - 2021 IDMT Digital

Chapter 6
CARDIOVASCULAR PROTOCOLS

MURMUR RECOGNITION
Introduction:
• $ PXUPXU LV WKH QRLVH PDGH YLD WKH WXUEXOHQFH RI EORRG IORZ DV LW PRYHV WKURXJK WKH
KHDUW YDOYHV
o 7KH WLPH DW ZKLFK WKH PXUPXU RFFXUV LV RQH PHDQV E\ ZKLFK PXUPXUV DUH
FODVVLILHG
o 1RUPDO KHDUW VRXQGV "OXE GXE"
o 6\VWROLF PXUPXU "OXE VKKK GXE"
o 'LDVWROLF "OXE GXE VKKK"
o 0XUPXUV DUH JHQHUDOO\ UHSUHVHQWDWLYH RI D VWUXFWXUDO GHIHFW LQ WKH KHDUW
o $ QHZ RQVHW PXUPXU ZLWK V\PSWRPV LV DQ HPHUJHQF\
Subjective:
• 6LJQV DQG 6\PSWRPV
o $Q DV\PSWRPDWLF PXUPXU LV XVXDOO\ DQ LQFLGHQWDO ILQGLQJ RQ H[DP
o $ SDWLHQW ZLWK V\PSWRPV PD\ FRPSODLQ RI
ƒ 6KRUWQHVV RI EUHDWK
ƒ 'L]]LQHVV
ƒ 6\QFRSH
ƒ &KHVW SDLQ
ƒ 'LIILFXOW\ ZLWK H[HUFLVH

Objective:
• 3K\VLFDO ([DP
o $ FDUHIXO HYDOXDWLRQ RI KHDUW VRXQGV LV HVVHQWLDO
ƒ 7KH SRLQW DW ZKLFK WKH PXUPXU RFFXUV
ƒ &KHFN KDQGV DQG IHHW IRU HGHPD
ƒ &KHFN GLVWDO SXOVHV
ƒ /RRN IRU GLVWHQGHG QHFN YHLQV
ƒ $GYHQWLWLRXV VRXQGV LQ OXQJV
• &UDFNOHV
• :KHH]HV
ƒ *UDGH DQG ORFDWLRQ RI PXUPXU
Assessment:
• 'LIIHUHQWLDO
o 9DOYH VWHQRVLV
o 9DOYH UHJXUJLWDWLRQ
o &RDUFWDWLRQ RI WKH DRUWD
o $WULDO VHSWDO GHIHFW YHQWULFXODU VHSWDO GHIHFW
o 3DWHQW IRUDPHQ RYDOH SDWHQW GXFWXV DUWHULRVXV

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