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 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.
  1. Timing refers to whether the murmur is a systolic or diastolic murmur.
  2. 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.

Sophia Al-Mansoor

Sophia Al-Mansoor

Global Business & E-Commerce Reporter

Sophia analyzes international trade, startup ecosystems, retail transformation, and supply chain logistics for modern digital publications.