Table 2.
Heart sound scoring sheet.
| Feature (weighting) | ||||
|---|---|---|---|---|
| Phase of cardiac cycle (5) | Systolic | Diastolic | Continuous | |
| Intensity (5) | I | II | III | IV |
| V | VI | |||
| Duration of murmur (5) | Ejection systolic | Mid systolic | Late systolic | Pansystolic |
| Early diastolic | Mid diastolic | |||
| Location heard most intense (4) | Mitral | Tricuspid | Pulmonary | Aortic |
| Radiation (3) | Axilla | LLSE | ULSE | URSE |
| Carotid | Back | Pulmonary | Epigastrium | |
| Character (2) | High pitched | Low pitched | Rumbling | |
| Added sounds (1) | None | S3 | S4 | Ejection click |
| Systolic click | ||||
| S1 (1) | Normal | Soft | Loud | |
| S2 (1) | Normal | Split | Fixed Split | Reversed split |
| Single | ||||
| Change with breathing (1) | Softer inspiration | Louder inspiration | Softer expiration | Louder expiration |
| No change | Not done | |||
| Valsalva (1) | Softer inspiration | Louder inspiration | Not done | |
| Left lateral position (1) | Louder | Softer | No change | Not done |
| Sitting forward (1) | Louder | Softer | No change | Not done |
| Final diagnosis (6) | Valve: | Severity: | Lesion: |