Innocent Still's Murmur in A Child  S1 S.Mur S2 S3 S1 S.Mur S2 S3 Diamond shaped systolic murmur follows S1. S3 follows S2. Two consecutive heart beats are shown.
 S1 Sys.mur S2 S3 Single Heart Beat
 Systolic Murmur Frequency Spectrum - very narrow ("musical") indicative of Still's murmur

Systolic Murmur (our main interest here) has Intensity 24.85%, Duration 56%; Frequency Score-1 (mean frequency) = 100 Hz and Frequency Score-2 (half-bandwidth) = 8.07 Hz. Also this is Grade 2 murmur. Narrow half-bandwidth confirms that this is musical innocent Still's murmur.
 S1 Mur Sp.S2 S3 Energy Signature for a given heart beat. S2 split is evident showing A2 and P2 as 2 peaks on the power plot and two spots of energy on the energy signature.  S1 Mur S2 S3 Instantaneous frequency for murmur (energy density spectrum) and power at murmur frequency (100 HZ).
CONCLUSIONS: Diamond shaped Grade 2 low intensity (24%) systolic murmur is immediately visible on the Phonocardiogram and Energy Signature spectrogram. S2 spit is visible. Murmur intensity score (low) and frequency score (narrow) confirms that this is innocent Still's murmur. Heart Sound was taken from the Ears On Auscultation Program and Database, www.corsonics.com (D.L. Roy, MD; B. Holt)  S1 murmur S2 S3
Innocent Still's murmur shown with superimposed EKG tracing. Note how beginning of S1 matches QRS and end of T-wave matches beginning of S2. Heart Sound was recorded by Meditron Analyzer (Welch-Allyn) (R. Geggel, MD) |