The timing of a murmur is crucial to accurate diagnosis. A murmur is either systolic, diastolic or continuous throughout systole and diastole. Remember: Systole occurs between the S1 and S2 heart ...

A Grade 4/6 decrescendo diastolic murmur at the left sternal border and a Grade 1/6 apical systolic murmur were noted. An electrocardiogram showed atrial fibrillation, right-axis deviation and a 4-mm.

Diastolic murmurs are graded on a scale of 1 to 4, while systolic murmurs are graded on a scale of 1 to 6. Often, grade 1 systolic/diastolic murmurs are not discernible to inexperienced clinicians ...