Sustained Handgrip in Medicine / Internal Medicine — 32yo Man | Cardiology | SMLE Q#1079
SMLE Question #1079
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 32-year-old man is evaluated for an incidental systolic murmur and has no symptoms or comorbidities. On examination, a crescendo–decrescendo systolic murmur is loudest at the right upper sternal border. During a sustained Valsalva maneuver, the murmur becomes softer. With sustained handgrip, the murmur also becomes softer. Which of the following cardiac murmurs is most consistent with these findings?
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