Systolic murmur is associated with ?

Ans. is 'a' i.e., Ejection click o During a systolic murmur seen in stenotic lesion like aortic stenosis, the left ventricle generate more force to ope the stenosed valve. Hence the forceful opening of these valves will cause loud ejection click.# It is produced by sudden opening of the semilunar valves what their opening is delayed.Features of Added SoundsEjection ClickOpening SnapPericardial knockTumor plopo Sharp, High pitched soundo Brief, High pitched soundo A third heart sound that is higher pitched than normal(S3 is low pitched)o Tumor plop is a characteristic low pitched soundo Audible during early systole (Immediately after SI)o Audible during early diastole (Between 0.04 to 0.12 sec after .A2).o Audible during early diastole (Within 0.01 to 0.12 sec after .A2).o Audible during early or mid diastole.o Seen in Aortic stenosis. Pulmonary stenosis. Hypertension and is produced due to sudden opening of semilunar valves in conditions where this opening is delayed.o Seen in stenosis of AV valves (Mitral stenosis > Tricuspid stenosis).o Seen in constrictive pericarditis and produced due to sudden deceleration of venticular filling because of restrictive effect of adherent pericardium.o Seen in conditions like atrial myxoma and produced due to the tumor abruptly stopping as it strikes the ventricular wall.