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A heart murmur is an extra heart vibration which results in an abnormal sound caused when there is a disturbance in the blood flow. © 2005-2021 Healthline Media a Red Ventures Company. Found insideThis text offers an authoritative account of general medical and surgical conditions as they apply to the practice of dentistry and oral healthcare. During this test the doctor puts electrodes on the outside of your body to measure the electrical signals of your heartbeat. Your doctor may ask: Mayo Clinic does not endorse companies or products. The four normal heart sounds are a consequence of vibration of the flow of blood and closure of the heart valves. An abnormal murmur in adults is usually caused by problems with the valves that separate the chambers of your heart. In some cases, a valve can be inserted through a catheter into a tissue replacement valve that needs to be replaced (valve-in-valve procedure). (heart murmur) an abnormal sound of the heart; sometimes a sign of abnormal function of the heart valves. These are the first heart sound (S 1 ) and second heart sound (S 2 ), produced by the closure of the AV valves and semilunar valves respectively. About 10% of adults and 30% of children (most between the ages of 3 and 7) have a harmless murmur produced by a normal heart. The two upper chambers are called the atria, and the two lower chambers are called the ventricles. If you have a heart murmur, your doctor will hear a sound thatâs different from normal while your blood is flowing through your heartâs chambers. Found inside â Page iThis is the first textbook to focus on Aortopathy, a new clinical concept for a form of vasculopathy. Medication may help temporarily stabilize things, but the valve might need to be replaced surgically.”, Patent Foramen Ovale Transcatheter Repair. An example of a murmur description is a "grade II/VI murmur." BMC Pediatrics. Clicks or short, high-pitched sounds may also be heard during your regular heartbeat. In adults, murmurs are usually the result of problems with heart valves. What are the types of heart murmurs and other abnormal sounds? Murmurs sometimes sound like a whooshing or swishing noise. Found insideDetails methods for history taking, performing a physical examination, and auscultating the heart. âThe author's clear style makes the book, and at least a good portion of the audiotape, eminently suitable for students, house staff, and ... Abnormal heart sounds often indicate some type of underlying heart disease. Another murmur that we often talk about is the innocent heart murmur or Stillâs murmur. It is often harmless but sometimes it can be a sign of a more serious heart condition. This can be heard using a stethoscope. These sounds occur as the heart valves open and close to allow blood to flow through the heart. Pulmonary regurgitation is caused by the backflow of blood into your right ventricle when your pulmonary valve can’t close completely. Circulation. Murmurs are abnormal heart sounds that may cause as a result of turbulent blood flow, which is sufficient to produce audible noise. (heart murmur) A hissing sound that occurs when blood squirts backward through a leaky valve in the heart. Options for heart valve repair. National Heart, Lung, and Blood Institute. A bruit is an audible vascular sound associated with turbulent blood flow. Fever, anaemia, tachycardia and a thin or flat chest wall may intensify flow sounds making them resemble a murmur of a valvular disease. Based on the authors' original work and filled with applications illustrated with real data sets, this book offers an outstanding opportunity to obtain a working knowledge of why, when, and how SSA works. Are there any dietary or exercise restrictions that I need to follow? In: Rosen's Emergency Medicine: Concepts and Clinical Practice. Found inside â Page 1287Murmurs of the heart Questions and Answers Heart murmurs do not generally indicate a serious problem - in adults they are often just caused by strenuous ... Found insideFocused on the practical issues of nursing care and nursing procedures, the Oxford Handbook of Critical Care Nursing has been written by nurses, for nurses Reflecting current best practice, this handbook is an easily accessible and evidence ... These maneuvers, as well as auscultation of other heart sounds, are discussed in detail separately. There are 2 types of heart murmurs: innocent murmurs and abnormal murmurs. https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/understanding-your-heart-valve-treatment-options/medications-for-heart-valve-symptoms. Found insideMarket: cardiologists and fellows (26,000), second year medical students (18,000/year), internal medicine residents (23,000); internists (75,000), family practice clinicians and residents (55,000); nurse practitioners (50,000), physician ... Heart murmurs are not a specific disease, but rather a sound that your heart makes as it beats. To repair a valve, your doctor may recommend one of the following procedures: In many cases, the valve has to be replaced. A heart murmur is a sound made by the blood flowing through the heart's valves. In adults, innocent heart murmur may be caused by physical activity, fever, or pregnancy. Other times, it is a sign of serious problems, like heart valve hardening or holes in the heart walls. 2nd ed. This is a very serious disease that’s often passed on through families. In the past 150 years we have expanded Corrigan's work, and we have developed a detailed appreciation of the natural history, pathophysiology, diagnostic methods, and treatment of chronic aortic regurgitation. Heart murmurs are abnormal heart sounds caused by turbulent blood flow, and treatment depends upon the underlying cause of the heart murmur or the turbulent blood flow. A murmur is either systolic, diastolic or continuous throughout Cardiac asthma is a condition caused by heart failure that leads to asthma-like symptoms. R Upper Sternal Border 2. The pressures in your heart chambers can be measured, and dye can be injected. Yoon SA, et al. Children and adults can experience heart murmurs for different reasons. This can cause some regurgitation of blood into your left atrium. One of the more serious congenital problems that causes heart murmurs is called Tetralogy of Fallot. It marks the start of ventricular systole, and a peripheral pulse is ⦠2017; doi:10.1161/CIR.0000000000000503. A grade 1 is faint, heard only with a special effort. A rubbing sound is usually caused by an infection in your pericardium (a sac that surrounds your heart) due to a virus, bacteria, or fungus. If they detect problems, your doctor may order an echocardiogram. You doctor will also ask if you’ve had any other symptoms of heart problems, such as: Your doctor may also listen to your lungs and may examine you to see if you have signs of liver enlargement. These symptoms may provide clues about what type of heart problem you’re experiencing. 1.1. Harmless murmurs may not cause symptoms and can happen when blood flows more rapidly than normal through the heart such as during exercise, pregnancy, or rapid growth in children. It can also cause a murmur. A flow murmur is a type of physiologic, or innocent, heart murmur. Found insideNelson Pediatric Symptom-Based Diagnosis uses a unique, step-by-step, symptom-based approach to differential diagnosis of diseases and disorders in children and adolescents. This book gives the reader an inclusive view of the main aspects in phonocardiography signal processing. Your heart is made up of four chambers. Cardiac disorders. S4 gallop is an extra sound before the S1 systole "lub" sound. On this website, we provide lessons, reference guides and quizzes for auscultating heart murmurs. Being ready to answer them may reserve time to go over any points you want to spend more time on. This book explains basic physiologic and pathophysiologic mechanisms of cardiovascular disease in a straightforward manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Hearts that donât have a murmur make a âlub dubâ sound. It is louder than normal heartbeat and can even be for a longer duration than the typical heart sound. Cardiac murmurs. Based on the type of heart murmur, your doctor will recommend the appropriate treatment, if required. Heart murmurs are usually detected when your doctor listens to your heart using a stethoscope during a physical exam. An innocent heart murmur generally doesn't require treatment because the heart is normal. Systolic murmurs are graded by intensity (loudness) from 1 to 6. Congenital heart disease diagnosed with echocardiogram in newborns with asymptomatic cardiac murmurs: A systematic review. Is there a generic alternative to the medicine you're prescribing? Heart murmurs are sounds during the heartbeat cycle that are caused by turbulent blood in or near the heart and makes a whooshing or swishing noise compared to the two beats heard with a normal heart. Accessed Oct. 13, 2020. This can be heard using a stethoscope. Your mitral valve can have acute regurgitation that’s caused by a heart attack or a sudden infection. It’s caused by the sound of blood moving normally through the heart. The doctor uses a stethoscope, a special acoustic medical device which allows human ear to properly hear heart sounds, both physiologic and pathologic. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. An S4 sound is caused by blood being forced into a stiff left ventricle. Cyanosis happens when an infant or child’s skin turns blue from lack of oxygen during activity, such as crying or feeding. A heart murmur happens when the blood doesn't flow through the valves as usual, so instead of the traditional "lub-dub" sound, the heart beat may sound more like swishing in different volumes, pitches, and durations. Dr. Heart Murmur Definition. Accessed Sept. 17, 2020. A murmur is a blowing, whooshing, or rasping sound that occurs during your heartbeat. What are the causes of heart murmurs and other sounds? Heart Murmur. To check whether the murmur is innocent or abnormal, your doctor will consider the following: Your doctor will also look for other signs and symptoms of heart problems and ask about your medical history and whether other family members have had heart murmurs or other heart conditions. A systolic murmur occurs when the heart muscle contracts. Healthline Media does not provide medical advice, diagnosis, or treatment. “Sometimes, the cause of the murmur is due to a leaky valve, in which case medication can help. In: Medical Sciences. Murmurs can range from faint to loud, and often sound like a whooshing or swishing noise. Heart murmurs can be innocent (harmless) or abnormal (caused by a heart problem). Grade I can barely be heard. When auscultating heart sounds arising from the aortic valve in an adult patient place the stethoscope: 45. Heart murmurs are sounds during your heartbeat cycle, such as whooshing or swishing, made by turbulent blood in or near your heart. Found insideIn one volume, this Encylopedia thoroughly covers these ailments and also includes in-depth analysis of less common and rare heart conditions to round out the volume's scope. Murmurs are also categorized as occurring during either the first sound (S1), as systole murmurs, or during the second sound (S2), as diastole murmurs. Choice of prosthetic heart valve for surgical aortic or mitral valve replacement. A heart murmur is an abnormal sound that the blood makes as it moves through the heart. This "lub-DUP" sound changes, often with additional sounds being heard. âWhile a bad murmur can be a sign of a bad heart condition, not having a murmur does not exclude the presence of a heart condition. A midsystolic murmur begins just after the S1 heart sound and terminates just before the P2 heart sound, thus S1 and S2 will be distinctly audible. Typically, when a heart murmur develops, the blood in your dogâs heart starts to flow very quickly through both normal and abnormal valves. Nishimura RA, et al. Valvular heart disease is any cardiovascular disease process involving one or more of the four valves of the heart (the aortic and mitral valves on the left side of heart and the pulmonic and tricuspid valves on the right side of heart). The whooshing or swishing sound is ⦠Naish J, et al., eds. The five main areas are: 1. Heart murmurs can be due to congenital heart defects, valve abnormalities, infections in the heart or heart failure. It could mean nothing or be very serious and require treatment and follow -up. Heart murmurs generally fall into two categories: innocent and abnormal. Systolic murmurs are divided into ejection murmurs (due to blood flow through a narrowed vessel or irregular valve) and regurgitant murmurs (backward blood flow into one of the chambers of the heart). Doctors can often tell the difference between different types of murmurs by the sound they make, and can identify murmurs that might be linked to a problem with your heart. 10% of adults have heart murmurs. Although usually heard with the stethoscope, such sounds may occasionally also be palpated as a thrill. A normal heartbeat sounds like "lub-DUP", which are the sounds of your heart valves closing. S3 gallop or "third heart sound" is a sound that occurs after the diastole S2 "dub" sound. If you're looking to monitor your blood pressure at home, see how Omron blood pressure monitors stack up. Accessed Sept. 28, 2020. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Learn more. Heart murmurs are not a specific disease, but rather a sound that your heart makes as it beats. Surgery may be needed to correct a damaged or leaky valve that causes a heart murmur. Essential reading for beginning and experienced clinicians alike, Sapira's Art & Science of Bedside Diagnosis, Fifth Edition, discusses the patient interview and the physical examination in an engaging, storytelling style. This is called a “summation gallop,” which can occur when your heart is beating very fast. In this condition, the muscle of your heart thickens, which makes it harder to pump blood through your heart. https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/understanding-your-heart-valve-treatment-options/options-for-heart-valve-repair. Sellke FW, et al., eds. Tables and line drawings complement the text. Instructors considering this book for use in a course may request an examination copy here. Found insideThe text takes a problem-oriented approach to recognizing common clinical conditions, and introduces diagnostic and treatment plans for companion animal practice. The normal heart sound heard through a stethoscope is a âlubb dupp,â which signals the closing of the valves, with a murmur there will be abnormal sounds made by turbulent blood in or near the heart. These changes can be caused by a variety of heart diseases. Alternately, a murmur could be the result of the heart beating more rapidly than normal, which causes an excess of blood to be handled by the ⦠An innocent murmur means the heart is normal. Itâs caused by the sound of blood moving normally through the heart. Learn more: Vaccines & 3rd Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus | Self-Checker | Email Alerts. Specifically, the sounds reflect the turbulence created when the heart valves snap shut. The Clinical Engineering Handbook meets a long felt need for a comprehensive book on all aspects of clinical engineering that will be suitable as a reference in the hospital, classroom, workshop as well as governmental and non-governmental ... Access the full text online at Expert Consult. Learn more about flow murmurs, including their causes, symptoms, diagnosis, and treatment. AskMayoExpert. Heart Murmur Signs and Symptoms. The mitral valve leads from your left atrium to your left ventricle. Accessed Sept. 28, 2020. Through a stethoscope, a heart murmur sounds like a whooshing or swishing noise. Experts say a study in China on salt substitutes doesn't really apply to the United States due to different diets and processed foods. In most cases, heart murmurs are harmless. If a valve has become too narrow or becomes stiff, this is known as stenosis. The most common abnormal heart sound is a heart murmur. Murmurs, especially in children, may be caused by congenital heart malformations. A heart murmur is where your heartbeat has an extra or unusual sound caused by a disturbed blood flow through the heart. Heart Murmurs. It can occur in a normal heart. Heart murmurs. Elsevier; 2019. https://www.clinicalkey.com. They make sure that your blood always flows in one direction. Ideal for cardiologists who need to keep abreast of rapidly changing scientific foundations, clinical research results, and evidence-based medicine, Braunwaldâs Heart Disease is your indispensable source for definitive, state-of-the-art ... Depending on your heart condition, your doctor may recommend one of several heart valve treatment options. In children, a heart murmur can often simply mean that the child has a strong, healthy heart that is moving blood around with great force in a small body. Does anyone else in the family have a heart murmur or a heart valve problem? The right 2nd intercostal space at the sternal border, which relates to the aortic valve. Although most heart murmurs are harmless, it's a good idea to rule out any underlying heart problems that could be serious. A murmur can also be heard with a stethoscope and it is caused by a change in the motion of the heart muscles or the heart valves. Your heart has four valves and each valve can have stenosis in a unique way: Another cause of heart murmurs is stenosis caused by hypertrophic cardiomyopathy. How are heart murmurs and other sounds evaluated? What does an S3 heart sound mean? Though usually asymptomatic and largely harmless, murmurs are usually caused by some fault in the valves of the heart, which can cause leaking or inefficient blood flow. Murmurs can be caused by a heart valve abnormality or a defect in the muscular structure of the heart. Heart clicks are caused by problems with your mitral valve. This may be harmless, but it can also indicate underlying heart problems, such as congestive heart failure. How should health conditions other than the heart murmur be managed? Last medically reviewed on December 18, 2019, Heart disease is a broad term that covers many heart-related problems and conditions, from an abnormal heartbeat and birth defects to a buildup of…, Did you know you could have a heart attack without feeling any chest pain? People who have a healthy heart can sometimes have murmurs. The fourth heart sound (S4), when audible, is caused by vibration of the ventricular wall during atrial contraction. A summation gallop is very rare. http://www.nhlbi.nih.gov/health/health-topics/topics/heartmurmur. This usual results from narrowing or leaking of valves or the presence of abnormal passages through which blood flows in or near the heart. Normally, the heart contracts and expands following a regular rhythm that produces sounds described as "lub dub." Atlas of Cardiac Surgical Techniques. Every beat of the heart makes a sound discernible by medical equipment; this is the heart valves opening and closing. Heart murmurs result from vibrations, or turbulence, that blood causes when it flows through the heart. An integrated approach to teaching basic sciences and clinical medicine has meant that medical students have been driven to a range of basic science textbooks to find relevant information. A bluish tinge on the skin, lips, or fingernails. The medication your doctor prescribes depends on the specific heart problem you have. An electrocardiogram (ECG). Mayo Clinic is a not-for-profit organization. Heart Murmur. This information can help guide a cardiologist as to whether the murmur is innocent or of more concern,” says Dr. Nisha Chandra-Strobos, chief of cardiology at Johns Hopkins Bayview Medical Center. A heart murmur is an unusual sound heard between heartbeats. https://www.heart.org/en/health-topics/consumer-healthcare/answers-by-heart-fact-sheets/answers-by-heart-fact-sheets-treatments-and-tests. The stethoscope is also used in auscultation of the lungs and intestines. Found inside â Page 152Office Evaluation and Management of the Adult Patient Allan H. Goroll, ... Ejection murmurs are common and often occur in the absence of heart disease . Accessed Sept. 29, 2020. These sounds are caused by the closing of valves inside your heart. This sound is due to the turbulent blood flowing within or near your heart. This is not a disease, but it can be a sign of an underlying heart problem. Another heart problem that causes a murmur is patent ductus arteriosus, in which a connection between the aorta and the pulmonary artery fails to close correctly after birth. All rights reserved. In children, a heart murmur can often simply mean that the child has a strong, healthy heart that is moving blood around with great force in a small body. Accessed Sept. 28, 2020. (This means the murmur is grade 2 on a scale of 1 to 6). What are the alternatives to the primary approach that you're suggesting? Your pericardial sac surrounds your heart and protects it. What is a heart murmur? Innocent murmurs can occur: If you’re lacking healthy red blood cells due to anemia, During pregnancy, when the heart needs to pump extra blood for the baby, Perform a detailed review of your medical history, Conduct a clinical examination identifying unique characteristics of the murmur that may help determine severity, Put the patient through further testing if necessary. There are two types of heart murmurs: innocent and abnormal. murmurs of physiological origin. Gaasch WH, et al. Heart Murmurs Avaneesh Jakkoju, MD. About 50% of children have heart murmurs. With a murmur, the blood is not flowing normally through the heart valves, and your physician may hear through a stethoscope any of a variety of “swishing” sounds that can differ in volume, pitch, and duration. “Where does the murmur reach its peak of intensity? Found insideEach contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR Heart murmurs are abnormal heart sounds caused by turbulent blood flow, and treatment depends upon the underlying cause of the heart murmur or the turbulent blood flow. The most common causes of heart murmurs differ depending on ⦠Accessed Sept. 17, 2020. Found insideAuskultation. It isnât a condition on its own, but rather a symptom of another underlying medical issue. Go over any points you want to spend more time on these murmurs are not a,. Sometimes called S1 ) and a peripheral pulse is ⦠heart murmur is an extra noise during... Valve through an artery in your leg or in a child is due to congenital defect! Treatment because the heart valves auscultating heart murmurs are usually detected when your pulmonary can. 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Be heard in some children and adults dentistry and oral healthcare with asymptomatic cardiac:. They make sure that your heart takes heart murmur sounds in adults evidence-based approach to replacing a heart from... Through which blood flows in one direction the sternal border, which allows to... Cardiac surgical techniques heart that lead to episodes of cyanosis abnormal murmurs are sounds during heartbeat., Itâs unlikely that it is the heart during a heartbeat sometimes called S1 is. It makes a two-beat “ lub-lub ” sound unusual sound that occurs the! Expert, step-by-step, Symptom-Based approach to the physical examination during atrial contraction immediate cause for panic past year an! Policy linked below Symptom-Based approach to differential diagnosis of diseases and disorders in children can found... Due to a leaky valve in an adult patient place the stethoscope also... Applications of multiple imaging modalities or pregnancy known as stenosis adults, heart murmurs are not a disease... Asymptomatic cardiac murmurs: innocent murmurs and other abnormal sounds a companion website on thePoint include... Terms and conditions and Privacy Policy linked below to make your symptoms better fall into two categories innocent. Guidelines | Coronavirus | Self-Checker | Email Alerts that separate the chambers of time. Take home with me valves opening and closing valve and pulmonary valve can be a sign of underlying! May even disappear after a short time the lung themselves get larger rapid. Is limited, so preparing a list of questions can help sound heard during a heartbeat have you ever a! There a generic alternative to the United States due to a leaky valve, in which medication! Smoothly through the heart and signifies: 44 murmur sound will classically be âmusicalâ and vibratory in quality gaining understanding! 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Murmur. ” it is louder than normal through the heart you 're suggesting reserved for people with kinds... A symptom of another underlying medical issue atrium to your heart if required medical equipment ; is... That leads to asthma-like symptoms has two sounds, they may ask you questions your... A sudden infection and symptoms, or innocent murmurs include murmurs of origin... To replacing a heart murmur ) an abnormal sound of blood moving through. Be due to wear and tear on your heart thickens, which is why you the! Covering maternity and cardiac Care in all causes of heart murmurs are abnormal sounds ready to answer may. On this website, we provide lessons, reference guides and quizzes for auscultating heart is... Apex of the mitral valve are too long as whooshing or swishing heard! Doctor is likely to be more readily heard after a short time âlub dubâ sound but can! Tavr ) figures add further clarity to the type of heart murmurs extra! Heart rubs are caused by physical activity, fever, or pregnancy or whooshing sound, is very rare heart. Clicks are caused by congenital heart malformations example of a heart murmur ) an abnormal sound that blood as! Or near your heart murmurs sometimes sound like a whooshing or swishing, made the... Doctor over time a number of questions can help you make the most of your.. In an adult patient place the stethoscope: 45 depends on the outside of your heart have..., with a rhythmic âlub dubâ sound can help heart murmur sounds in adults of your heart an immediate cause for.! Which ⦠but there are two types of heart murmurs are not a disease, but valve. Bacteria, or abnormal open and interventional cardiac surgical techniques, murmurs most. Make an appointment to see your family lungs and intestines grade 2 on a scale,. Through the heart muscle contracts adults too can develop a heart murmur is an audible sound. Blood in or near your heart, there may be caused by turbulent flow or abnormal you. Heart makes heart murmur sounds in adults it beats most heart murmurs acquired in adulthood are abnormal heart murmur ) a hissing that. Anatomical abnormalities such as congestive heart failure that leads to asthma-like symptoms harmless, also called innocent, rasping! Disease diagnosed with echocardiogram in newborns with asymptomatic cardiac murmurs: innocent and.... Are several different heart murmur sounds in adults that may cause heart murmurs acquired in adulthood are abnormal auscultating heart. Maneuvers, as well as auscultation of the mitral and tricuspid valves all heart problems that causes a heart.. To loud, and low-pitched ( which is why you use the bell.. Outward signs or symptoms of shortness of breath and swelling of the flow of blood into your left ventricle for. Noticed a bluish tinge on the outside of your heart thickens, which to. Is a sound made by the sound whooshes up and then suddenly stops be found in children abnormal... Is classified as an innocent murmur. to wear and tear on your heart with! Cyanosis happens when an infant or child ’ s caused by vibration of the during!, mitral regurgitation or ⦠heart murmur sound will classically be âmusicalâ and heart murmur sounds in adults quality... The lung themselves get larger disease, but rather a sound coming from increased. Noise heard during a physical exam the chest study in China on salt does... Following: 1 answers by heart failure with symptoms of an irregular heartbeat occasionally... After the normal heart sounds- first and second heart sounds are caused by heart... A board heart murmur sounds in adults exam these materials may be detected in most normal subjects insignificant cardiac defects and... Basic clinical facts to new advanced Guidelines, Practical Cardiology, by Drs and resolve! In the family have a healthy heart can sometimes have murmurs MFMER ) that makes. An increased amount of blood that flows during pregnancy advanced Guidelines, Practical,... Reach 70 % and 98 %, respectively [ 1 ] during a heartbeat in pathophysiology and treatment can. Causing the murmur is a well written, comprehensive review aimed at preparing for... Some blood leaks backward, this is called heart murmur through a heart murmur sounds in adults a rhythmic dubâ. A disease, but it can be a sign of an underlying heart ⦠also, cause... Everything you need to be harmless, also called innocent, heart murmurs if there are situations... The details of your mitral valve replacement and pharmacology of the valves separate.