Effect on Systolic Sounds and Murmurs


Cardiovascular Effect

Mitral Valve Prolapse

Hypertrophic Cardiomyopathy

Aortic Stenosis

Standing; Strain Phase of Valsalva

Decreased left ventricular volume from X venous return to heart

Decreased vascular tone:

X arterial blood pressure; X peripheral vascular resistance

T prolapse of mitral valve

Click moves earlier in systole and murmur lengthens

T outflow obstruction

X blood volume ejected into aorta

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