Samples of Murmurs

One year old with moderate muscular ventricular septal defect.
S1 is obliterated.  S2 is single.
There is a regurgitant systolic murmur and an apical diastolic rumble.

Adolescent following total repair of Tetralogy of Fallot.
S1 is normal, there is a long systolic ejection murmur.
S2 is widely split.

Adolescent with aortic valvar stenosis and regurgitation.
S1 normal.  There is a systolic ejection click.  There is a Systolic ejection murmur.
There is a protodiastolic murmur of aortic regurgitation. S2 is single.

An infant with a small ventricular septal defect.
S1 is muffled.  There is a harsh regurgitant systolic murmur.
S2 is single.

Adolescent with bicuspid aortic valve.
S1 normal.  There is a systolic ejection click. S2 is normal.  There is no murmur.

Child with a small ventricular septal defect.
There is a harsh regurgitant systolic murmur.  S2 is normal.
Diastole is clear.

Child with a vibratory murmur (Still's).
S1 is normal.  S2 is physiologically split. 
There is a mid-systolic vibratory-musical murmur.  Diastole is clear.

Child with Patent Ductus Arteriosus.  S1 is normal.  S2 is closely split.
A2 is loud.  There is a continuous murmur.

A child with aortic valvular stenosis.
S1 is normal.  There is a systolic ejection click and a systolic ejection murmur. 
S2 is single.  Diastole is clear.

20year old with rheumatic mitral regurgitation.
S1 is preserved. There is a regurgitant systolic murmur covering the entire systole. S2 is intermittently audible and is single. Diastole is clear.

5 month-old infant with large Patent Ductus Arteriosus.
S1 is normal. S2 is physiologically split. There is a continuous murmur. There is also stridor.

3 day-old with Pulmonic Valvular Stenosis.
S1 is normal. There is a systolic ejection murmur without a click.
S2 is closely split.

5 year-old with Tricuspic Valve Regurgitation
S1 is normal. There is a systolic regurgitant murmur. S2 is single.

6 month-old with A-V fistula of the Vein of Galen.
There is a continuous murmur. Neither S1 or S2 can be identified.

5 month-old with Tetrology of Fallot and Blalock-Taussig shunt. S1 is absent. S2 is single. There is a continous murmur. There is also stridor.

2 day-old newborn with normal heart sounds.
S1 is normal, S2 is normally split.

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