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Timing
The
murmur starts when the aortic valve opens. This happens shortly after the
isometric contraction of the left ventricle. With the help from the QRS
complex in the ECG curve, (in a phonocardiogram) or by palpating the
patients pulse while listening, this timing can be established relatively
easily.
The
murmur peaks in midsystole.
A
look at the schematics of the intraventricular pressure curve will reveal
how the murmur relates to the onset of systole, opening and closing of the
aortic valve and the ejection phase.
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