You are incorrect - our patient's acoustic events at the apex include a holosystolic murmur, a fourth heart sound and a third heart sound.


Your choice: Systolic early peaking murmur + diastolic decrescendo murmur
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This is a graphic example of a systolic, early peaking murmur and a diastolic decrescendo murmur. Note that the systolic murmur is mid frequency and the diastolic murmur is high frequency.