The pulmonic component of the
Where is a pulmonic murmur heard?
The murmur is heard best in the first to third intercostal spaces. The murmur usually does not radiate to the left sternal boarder. The severity of valvular disease is related directly to the intensity and duration of the murmur. When severe, murmur extends into diastole (beyond the second heart sound).
Where is the murmur of pulmonic regurgitation best heard?
The murmur of PR due to pulmonary hypertension is a high-pitched, early diastolic decrescendo murmur that begins with P2 and ends before S1 and that radiates toward the mid-right sternal edge (Graham Steell murmur); it is heard best at the left upper sternal border with the diaphragm of the stethoscope while the ...
