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diastolic heart murmur : ウィキペディア英語版
diastolic heart murmur

Diastolic heart murmurs are heart murmurs heard during diastole.〔(【引用サイトリンク】title=Techniques - Heart Sounds & Murmurs Exam - Physical Diagnosis Skills - University of Washington School of Medicine )
Diastolic murmurs start at or after S2 and end before or at S1.
Many involve stenosis of the atrioventricular valves or regurgitation of the semilunar valves.
==Types==

* Early diastolic murmurs start at the same time as S2 with the close of the ''semilunar'' (aortic & pulmonary) valves and typically end before S1. Common causes include aortic or pulmonary regurgitation and left anterior descending artery stenosis.
* Mid-diastolic murmurs start after S2 and end before S1. They are due to turbulent flow across the ''atrioventricular'' (mitral & tricuspid) valves during the rapid filling phase from mitral or tricuspid stenosis.
* Late diastolic (presystolic) murmurs start after S2 and extend up to S1 and have a crescendo configuration. They can be associated with AV valve narrowing. They include mitral stenosis, tricuspid stenosis, myxoma, and complete heart block.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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