33: Thinking Through a Radiating Holosystolic Murmur

<p></p> <h2>Session 33</h2> <p>This middle-aged male has hypertension and diabetes. Which cardiac abnormality is giving rise to his radiating, high-pitched, holosystolic murmur?</p> <p>We’re joined by Dr. Mike Natter from <a href= "https://www.boardvitals.com/">BoardVitals</a>. Go check out his amazing artwork on Instagram <a href= "https://www.instagram.com/mike.natter/?hl=en">@mike.natter</a>.</p> <p><strong>Listen to this podcast episode with the player above,</strong> or keep reading for the highlights and takeaway points.</p> <h2>[02:30] Question of the Week</h2> <p>A 58-year-old male is presenting for an evaluation of a heart murmur that was recently discovered at a work health fair. His past medical history is remarkable for hypertension and diabetes.</p> <p>He has a nice chest pain, palpitations, syncope, or dyspnea. Cardiac auscultation reveals a high-pitched, blowing, holocystolic murmur at the apex. It radiates toward the axilla. The murmur does not increase in intensity wit...