How to Grade a Heart Murmur?
Grades. Systolic Murmurs Are Graded on a Six-Point Scale. a Grade 1 Murmur Is Barely Audible, a Grade 2 Murmur Is Louder and a Grade 3 Murmur Is Loud but Not...
GRADES. Systolic murmurs are graded on a six-point scale. A grade 1 murmur is barely audible, a grade 2 murmur is louder and a grade 3 murmur is loud but not accompanied by a thrill. A grade 4 murmur is loud and associated with a palpable thrill.
How do you classify a heart murmur?
Murmurs can be classified by seven different characteristics: timing, shape, location, radiation, intensity, pitch and quality.
- Timing refers to whether the murmur is a systolic or diastolic murmur.
- Shape refers to the intensity over time; murmurs can be crescendo, decrescendo or crescendo-decrescendo.
How is murmur loudness graded?
Under this system, absence of a heart murmur is graded 0/6. Murmurs that are clearly softer than the heart sounds are graded 1/6. Murmurs that are approximately equal in intensity to the heart sounds are graded 2/6. Finally, murmurs that are clearly louder than the heart sounds are graded 3/6.