Mid- diastolic apical murmur in acute rheumatic fever

Mid- diastolic apical murmur in acute rheumatic fever

Mid- diastolic apical murmur in acute rheumatic fever is called

[A] Carey Coombs murmur
[B] Graham Steell murmur
[C] Cooing dove murmur
[D] Austin Flint murmur

Mid- diastolic apical murmur in acute rheumatic fever

Carey Coombs murmur or Coombs murmur

  1. Occurs in patients with mitral valvulitis due to acute rheumatic fever.
  2. Short, mid-diastolic rumble best heard at the apex,
  3. Disappears as the valvulitis improves.
  4. Associated with an S3 gallop rhythm
  5. Distinguished from the diastolic murmur of mitral stenosis by the absence of an opening snap before the murmur.
  6. Caused by increased blood flow across a thickened mitral valve.
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