Kardiologischer Fall: 68-jährige Frau mit Herzgeräusch und abnormaler Herzklappe von Joseph Alpert, MD

A 68-year-old woman presents for evaluation of a murmur. She states that a murmur and "an abnormal heart valve" were diagnosed when she was a young woman. She takes antibiotics before visiting the dentist. She reports feeling well and walks 2 miles every day without symptoms. A grade 2/6 systolic ejection murmur and grade 2/6 high-pitched diastolic murmur are heard best at the upper right sternal border during cardiac auscultation. After the appropriate physical examination and diagnostic tests, heart failure is excluded. Which of the following will most likely be detected during the physical examination of this patient?

A 68-year-old woman presents for evaluation of a murmur. She states that a murmur and "an abnormal heart valve" were diagnosed when she was a young woman. She takes antibiotics before visiting the dentist. She reports feeling well and walks 2 miles every day without symptoms. A grade 2/6 systolic ejection murmur and grade 2/6 high-pitched diastolic murmur are heard best at the upper right sternal border during cardiac auscultation. Otherwise, her physical examination results are normal. Which of the following will most likely be found during workup?

Which of the following heart murmurs is most suggestive of aortic valve insufficiency?