An echocardiogram is the diagnostic study of choice in a patient with a<unk> , and should be obtained in asymptomatic patients with diastolic<unk> s, continuous<unk> s, holo-systolic<unk> s, late systolic<unk> s,<unk> s associated with ejection clicks or<unk> s that radiate to the neck or back as well as a grade 3 or louder midpeaking systolic<unk> .  An echocardiogram should also be obtained in patients with evidence of myocardial infarction or ischemia,<unk>  failure, congenital<unk>  disease, syncope, endocarditis. <unk> c evaluation is not recommended in some<unk> s, such as a grade 2 or softer mid-systolic<unk> , which can be an "innocent", "benign" or "functional".
Heart murmur echocardiography
Mitral regurgitation physical examination
Aortic regurgitation physical examination
Pulmonic regurgitation physical examination
Tricuspid regurgitation physical examination
Mitral stenosis physical examination
Tricuspid stenosis physical examination
Tricuspid stenosis electrocardiogram