You are concerned that a patient has an aortic regurgitation murmur. Which is the best position to accentuate the murmur?

Question

Quizplus · Accepted Answer

Leaning forward slightly in the upright position brings the aortic valve and the left ventricular outflow tract closer to the chest wall, so it will be easier to hear the soft diastolic decrescendo murmur of aortic insufficiency (regurgitation). You can further your ability to hear this soft murmur by having the patient hold his breath in exhalation.

You Are Concerned That a Patient Has an Aortic Regurgitation