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