Talk:Heart murmur

Sound

It might be a good idea to get the sounds of a heart murmur. You know audio of each grade of heart murmur so that we can get a feel. Cause the description is a little off.71.142.242.233 (talk) 07:41, 4 March 2008 (UTC)Cardinal Raven

There's till no sound files 5 years later. Pleasetry (talk) 00:48, 7 June 2013 (UTC)

Same love

i dont know Heart mumurs are nothing to be scared of but should be monitored my boyfriend has one and it scared me when he told me now i dont see him different —Preceding unsigned comment added by 208.3.138.9 (talk) 23:01, 15 September 2008 (UTC)

Systolic murmurs

Not at all sure where this heading comes from. That all such systolic murmurs are serious is undoubtedly false. Also, not sure where "The 50/50 chance of dying during surgery" comes from. I will delete, and if anyone has an objection they can restore.

Organic/Functional murmurs

I think the explanations given here for this classification are not accurate nor complete. Organic are murmurs caused by a direct lesion/disease of the heart while functional is divided into organo-functional, functional and anorganic and are due to intrinsic disturbances to the blood flow in the heart. Also, the claim that all functional murmurs are innocent is not true. I hope someone with more knowledge then me, will make the correct adjustment if needed.89.136.142.55 (talk) 15:18, 20 July 2011 (UTC)

Required

I think a sound file of a heart murmur heard with a stethoscope should be uploaded. Pdiddyjr (talk) 17:11, 1 November 2011 (UTC)

Too technical

This entry is way too complicated for the average Wikipedia reader to understand. I think it needs to be completely re-written so it reads more like an general health article for the public and less like a medical school textbook. For example, the entry refers to "Post ectopic potentiation" but the vast majority of Wikipedia users won't have the slightest idea what that means. Here's another one: "Inhalation leads to an increase in intrathoracic negative pressure..." I rewrote the first paragraph but the whole thing needs to be rewritten. Rissa, copy editor 01:11, 23 April 2014 (UTC)

Which heart valve?

The first paragraph used to say a murmur is caused by blood flowing over a heart valve but didn't specify which heart valve. I changed it to "Heart murmurs are pathologic heart sounds produced when blood flows across one of the heart valves...." If a heart murmur only flows across a specific heart valve or all of them, then I think it would be useful to readers if this changed to say which one etc. Also, is there another word that can be used for "pathologic" or can it be dropped? Thank you. Rissa, copy editor 00:56, 23 April 2014 (UTC)

Why does "pansystolic" redirect here?

Word not used in article. 109.157.79.50 (talk) 22:58, 3 February 2015 (UTC)

Gibson Murmur

Entry for George Alexander Gibson links here because he was the first discoverer of a heart murmur, known as the Gibson Murmur and this page links back to him - but nowhere does it state which of these murmurs is the Gibson murmur. Agree with other commenters that this page should be rewritten. Too medical. JEH (talk) 17:02, 12 February 2016 (UTC)

Wiki Education assignment: WikiMed Feb-Mar 2022 UCSF SOM

This article was the subject of a Wiki Education Foundation-supported course assignment, between 28 February 2022 and 27 March 2022. Further details are available on the course page. Student editor(s): CaramelMind (article contribs).

Work Plan

Caption text

Milestone	Notes
Fri, March 4th	• Finalizing topic • Initial evaluation of article • Creation of preliminary work plan
Wed, 3/9	• Eliminate medical jargon or explain medical jargon to improve readability
Wed, 3/16	• Refine/update resource repository with reliable sources • Revise and augment anatomic sources section
Mon, 3/21	• Include consistent in-text citations, continue to refine/update resource repository with reliable sources • Include illustrations for anatomy • Include audio files for heart murmur sounds • Improve and augment interventions that change heart sounds section with physiological explanation, relation to diagnosis in relation to specific murmurs, and include images
Fri, 3/25	• Incorporate suggestions from class and wikipedian to further improve article

Caption text

Aspect of workplan	Notes
Article chosen	Heart murmur
Why this one? Include WP rating scale? How fit with your interests. Other details as desired	I have an interest in Cardiology and would love to have a free public resource for patients and those interested to learn about heart murmurs. With many types of heart murmurs and differing significance this may be of benefit to readers. These conditions are something that I would like to learn more in depth about and share with others. As a future practitioner, most all patients have their heart auscultated with a stethoscope during their exam to identify heart murmurs. Therefore, this may provide an explanation as to why this is done and what those findings may mean for patients. This article has a C class grade on quality scale, is considered of high importance and is supported by the Cardiology Task Force. There have been 2,240,628 pageviews and 919 daily views on average.
Initial Analysis of the article	I believe the article covers important points about heart murmurs, however as discussed in the talk page by others has room for improvement with regards to readability and elimination or explanation of medical language. Additionally, the statements in the text should be more frequently supported by citations. The anatomic sources section has room for improvement with regards to including images and descriptors. Wikipedians have requested including audio files for sounds of heart murmurs, while some are present, each murmur should be represented if possible. The section on interventions that change murmur sounds should be incorporated into how this affects specific murmurs, as it is used to diagnose/distinguish murmurs from one another. There is mention in the beginning about functional/physiologic/benign/innocent murmurs and pathologic murmurs, however this is not utilized throughout the article when describing murmurs.
Overall organization, what changes	TBD
What will you add?	Audio files for sounds of heart murmurs. Images of maneuvers to increase/decrease murmur sounds. Anatomical images.
What will you remove?	TBD
What will you augment?	Readability and elimination/explanation of medical jargon via Hemmingway editor app. References related to the topic, especially more frequent in-text citations. Physiological responses to maneuvers that result in changes to murmur sounds. Expansion of anatomy description. Prognosis of disease processes with heart murmurs.
What will you decrease coverage of?	TBD

Peer-Reviewed Comments

Feedback on Goals for 3/9

• Some terms still need to be de-jargonized, linked, or explained (i.e. mid-clavicular, preload, afterload, ventricle, extremities, benign)
• I feel ‘Radiation’ could be explained better as the sentence is “Radiation refers to where the sound of the murmur radiates”

Feedback on Goals for 3/16

• Medical references need to be updated to be in the last 5 years. Impressively there is a study from 1933!
• I would love to see some citations that are patient-geared for people to click

Feedback on Goals for 3/21

• Looks like you are still working on these goals
• Love the idea to include illustrations! Pictures will definitely improve this page.
• Physiological explanations and more heart murmur audio files sound terrific!

Overall

Keep up the work! I think this page has great potential, and your contributions will enhance this page greatly! According to your progress WikiMed, you have not added citations yet. Focus on those this week as well as adding images and improving readability (eliminate medical jargon). According to Hemingway Editor, most of the text is at a grade 9 level. I think fixing the jargon will help with readability for a lay audience.

Editor Response to Peer Review

Hi SDpsych, I appreciate you reviewing my article and work plan. Please find my responses to your feedback below:

Feedback on Goals for 3/9:

• Thank you for the suggestions. I went through the article to provide links for most of the medical terms. I also explained some terms that I could not find links for.
• I replaced ‘radiates’ with ‘travels’ to remove the redundancy.

Feedback on Goals for 3/16:

• Thanks for the tips. I updated medical references with recent textbooks and patient education articles that are within the last 5 years. The patient education article should is specifically geared for patients.

Feedback on Goals for 3/21:

• I attempted to include illustrations by searching the creative commons link recommended by Wikipedia. However, I did not find good and appropriate images for this article. Searches included ‘heart murmur’, ‘heart’, ‘auscultation’, ‘stethoscope’, ‘heart areas’. Do you recommend any other ways to find images that can be uploaded to Wikipedia?
• I included physiologic explanations to further describe heart murmurs. This included links to medical terms such as ‘afterload’, ‘preload’, ‘systemic vascular resistance’, etc.
• Similar to images I used creative commons to search for audio files and did not find any that were representative of heart murmurs. Do you have any recommendations places to find audio files that can be used on Wikipedia?

Overall: Thank you for your peer review. I included citations as you recommended. I also used hemingway editor to improve readability of the article. It has gone from postgraduate level to grade 9 or lower. I believe this article still requires work, however is much improved from prior. Thank you. — Preceding unsigned comment added by CaramelMind (talk • contribs) 17:01, 25 March 2022 (UTC)