Heart Murmurs Health Channel

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Heart, section through the middle

Heart murmurs and other sounds

Definition

Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow through the heart valves or near the heart.

Alternative Names

Chest sounds - murmurs; Heart sounds - abnormal

Considerations

A doctor can check heart sounds by listening with a stethoscope over the surface of the chest. An echocardiogram can find the exact cause of the murmur.

The heart has four chambers: two upper chambers (atria) and two lower chambers (ventricles). The heart has valves that close with each heart beat, causing blood to flow in only one direction. The valves are located between the atria and ventricles, and between the ventricles and the major vessels from the heart.

Normal heart sounds are called S1 and S2. They are the "lubb-dupp" sounds that are thought of as the heartbeat. These sounds occur when the heart valves close. Normally, there is no sound when the heart valve opens. In a person with congenital heart disease or heart valve disease, a "click" sound may be heard during a physical exam.

Because the heart is also divided into a "right side" and a "left side," sometimes these sounds may be divided. Most commonly noted is a "split S2." This is caused when the right and left ventricles relax and the valves close at slightly different times. It is normal.

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