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Symptoms and Signs – Differential Diagnosis of Cardiac Murmurs SYSTOLIC • Mitral regurgitation (MR) • Tricuspid regurgitation (TR) • Ventricular septal defect (VSD) • Aortic stenosis (AS) • Hypertrophic obstructive cardiomyopathy • Pulmonic stenosis (PS) • Innocent murmur of childhood • Coarctation of aorta • Mitral valve prolapse (MVP) DIASTOLIC • Aortic regurgitation (AR) • Atrial myxoma • Mitral stenosis (MS) • Pulmonary artery branch stenosis • Tricuspid stenosis (TS) • Graham Steell murmur (diastolic decrescendo murmur heard in severe pulmonary hypertension) • Pulmonic regurgitation (PR) • Severe MR • Austin Flint murmur (diastolic rumble heard in severe AR) • Severe VSD and patent ductus arteriosus CONTINUOUS • Patent ductus arteriosus • Pulmonary arteriovenous (AV) fistula 
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