Pediatricsbasic
A common ejection-type systolic murmur in HCM is heard maximally at the left sternal edge and the _____.
Answer
apex
Explanation
The described murmur is **ejection systolic** and is heard maximally at the **left sternal edge and apex**. The slides also note that the first and second heart sounds are usually normal and that the pulse may be brisk due to early systolic ejection. **Key takeaway:** The murmur's timing and location are useful examination features of HCM.\n\n**Glossary:** **Systolic murmur**: A sound heard during ventricular contraction. **Apex**: The pointed lower end of the heart.
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