Late diastolic murmur

 

Diastolic murmurs may be delayed  or early. Late ones are caused by mitral or tricuspid valve diseases and determined by the position in which the murmurs are heard. So in mitral valve disease the sound is heard best at the apex which is the mitral area, while in tricuspid valve disease it is best heard in the tricuspid area, which is just left of the lower part of the sternum.

 

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Late diastolic murmur              

 

 

 

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