Whirling venous murmur

From WikiLectures

  • is a continuous functional heart murmur, physiological, innocent
  • almost in every child when in sitting position
  • appears because of the turbulence in jugular veins when blood quickly returns to the right atrium
  • characteristics: appears in systole, continues over the second heart murmur and grows louder in diastole, intensity is 1–3/6[1]
  • is mostly heard: in supraclavicular fossa, and it is louder on the right side
    • it is best audible when sitting and turning the chin maximally to the left and up
  • considerably weakens or even disappears in compression of the jugular vein on the one side and in the Valsalva maneuver[1]


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  1. a b LEBL, Jan – PROVAZNÍK, Kamil – HEJCMANOVÁ, Ludmila, et al. Preklinická pediatrie. 2. edition. Praha : Galén, 2007. pp. 118. ISBN 978-80-7262-438-6.