Murmur | Description | Proposed etiology | Common age prevalence | Audio |
---|---|---|---|---|
Still’s murmur | Systolic Grade 1 to 2 Low frequency, such as a twanging string, musical Heard between sternal border (mid to lower position) and apex Most common murmur in children |
Unknown, theories include resonant phenomena of blood movement into the aorta, or movement across a chordae tendinae | 3 to 6 years, should disappear by adolescence | Audio file |
Pulmonary ejection/flow murmur | Systolic Slightly grading in contrast to vibratory Heard over left upper sternal border, no significant radiation |
Exaggeration of normal ejection vibration within the pulmonary vasculature | 5 to 14 years, most common in adolescents | Audio file |
Venous hum | Continuous, diastolic portion subtly louder Grade 1 to 2 Best heard infraclavicular and supraclavicular Only audible when patient is upright Can dissipate or exacerbate by head movements or obstruction of the ipsilateral jugular veins |
Vibration of the veins carrying the blood from the head and upper body to the superior vena cava | 3 to 6 years | Audio file |