Tuesday, 9 October 2012

Levine's grading of heart murmur


  • Grade I: very faint, may only be heard by an expert, not heard in all positions, no thrill.
  • Grade II: soft, heard in all positions, no thrill.
  • Grade III: loud, no thrill.
  • Grade IV: loud, with palpable thrill.
  • Grade V: very loud, with thrill, heard with the stethoscope partly off the chest.
  • Grade VI: loudest, with thrill, heard with the stethoscope entirely off the chest (just above the precordium, not touching the skin).

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