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About Mitral Valve Prolapse & Regurgitation. A heart murmur that is most pronounced when the stethoscope is positioned at the heart's apex and occurs in the late systolic phase may be caused by mitral valve prolapse. This is also known as floppy valve syndrome. The murmur is normally preceded by a series of clicks.
The tricuspid valve is heard over the 5th intercostal space left side of the patientâs chest. The mitral valve is heard over the 5th intercostals space inline with the middle of the collar bone. The examiner will take their time during the examination of the heart sounds.