Distinguishing the Murmurs of Tricuspid Stenosis and Mitral Stenosis

Character

Scratchy

Rumbling, low-pitched

Duration

Short

Long

Timing

Starts in early diastole and does not increase up to S1

Increases through diastole

Augmenting factor

Inspiration

Exercise

Site

Lower right and left parasternal borders

Cardiac apex with patient in left lateral decubitus position