Strategy for Evaluating Heart Murmurs Cardiac murmur Systolic Murmur Diastolic Murmur Continuous Murmur MidsystoliC, Early systolic grade 2 or Midsystolic, less(see text) grade 3 or more Late systolic Holosystolic Echocardiography Asymptomatic and Symptomatic or Venous hum no associated other signs of Catheterization Mammary souffle findings cardiac disease and angiography if appropriate of pregnancy No further workup BonowRo. et al. J Am Coll cardiol 2008: 52: e1-e142Bonow, R. O. et al. J Am Coll Cardiol 2008;52:e1-e142 Strategy for Evaluating Heart Murmurs