Cardiology Question 23 Instructor

What are the other conditions that can mimic a mitral stenosis diastolic murmur?

  1. Carey-Coombs murmur of acute rheumatic fever is a sign of active mitral valvulitis
    • Soft, early diastolic murmur usually varies from day to day.
    • Higher pitch than the diastolic rumbling murmur of established mitral stenosis.
  2. Pure severe mitral regurgitation
    • Increased flow across the valve
    • Sometimes with a short diastolic murmur with a S3
  3. Left atrial myxoma
    • Tumor plop
  4. Graham Steel murmur of pulmonary regurgitation
    • Increases with inspiration
  5. Austin-Flint murmur
    • A presystolic (late diastolic) murmur in patients with aortic insufficiency
    • The aortic regurgitant jet of blood keeps the anterior mitral leaflet from its full diastolic excursion.

Subscribe to Pearls

Uncle Sam wants you to subscribe to Medical Pearls

Subscribe today! It’s always free, and you can easily unsubscribe at any time. We will never share your email address. Subscribe to...

Multiple Pearls
Cardiology Pearls
Endocrinology Pearls
Hematology Pearls
Nephrology Pearls
Rheumatology Pearls
Transplant Pearls
General Internal Medicine Pearls
Instructor Pearls

Subscribe to receive your pearls today—it's free!