Which of the following murmurs is not audible while auscultating a patient of aortic regurgitation?
  1. Early diastolic decrescendo murmur
  2. Systolic ejection murmur
  3. Austin Flint murmur
  4. Crescendo-decrescendo murmur
Explanation
Answer- D - Crescendo-decrescendo murmur is not heard in aortic regurgitation.
Murmurs heard in aortic regurgitation:
•Early diastolic decrescendo murmur (EDM) - high-pitched, length correlates with severity, best heard with patient sitting, leaning forward on full expiration
•Systolic ejection murmur - physiologic, high flow murmur in aortic area
•Austin Flint murmur - diastolic rumble at apex, secondary to regurgitant jet on anterior MV leaflet
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