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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.
First, itâs very important to wear the stethoscope properly. All Littmann stethoscopes have headsets that are angled and are designed to fit properly with your ear canals. Hereâs the correct orientation: Hold the stethoscope with the eartubes vertical. When placing the eartips in your ears, be sure that the angled eartubes are pointing forward, toward your nose.