The murmur is a high-pitched, crescendo-decrescendo, mid-systolic murmur heard best at the left lower sternal border. The murmur of HOCM does not radiate to the carotids like that of AS.

Conversely, a holosystolic murmur begins with or immediately after the S1 heart sound and extends up to the S2, making them difficult — if not impossible — to hear. A mid-late systolic murmur ...

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.

The birth weight was 1.8 kg. (4 pounds). A systolic murmur was heard at 5 weeks of age. Congestive heart failure was first diagnosed at 8 months of age on the basis of failure to thrive ...