Pulmonic Area Murmur
[2nd Intercostal space on the left]
May be supravalvular (usually associated
with other congenital anomalies, i.e.: Tetralogy,
syndrome, etc.), valvular (almost always congenital),
or subvalvular (usually seen in association with a ventricular septal
Crescendo-decrescendo murmur is
the loudest in this area.
May be associated with other murmurs
common to associated congenital cardiac abnormalities.
Murmur may be low, medium or high
pitched, dependent on the severity of the gradient (moderate greater
than 50 mm Hg gradient, severe greater than 80 mm Hg gradient); the
later the peak of the murmur, the higher the gradient.
Usually associated with a pulmonary