Description

Roger’s murmur describes a loud holosystolic murmur of a ventricular septal defect.

The murmur is best demonstrated at the left upper sternal border, accompanied by a harsh thrill, and compared to the sound of a ‘rushing waterfall’. The smaller the ventricular septal defect, the greater the turbulence of flow and the louder the murmur. 


History of Roger’s murmur

1879 – Henri-Louis Roger (1809-1891) provided the first clinicopathological overview, through the correlation of his autopsy findings of interventricular defects with the murmurs previously documented in patients’ records. His description of the murmur:

… a murmur loud and long; it is single, begins at systole and is prolonged so as to hide the natural tic-tac; it has its maximum… in the upper third of the precordial region; it is median, like the septum itself

Roger 1879

The interventricular defects described by Roger:

A developmental defect of the heart occurs from which cyanosis does not ensue in spite of the fact that a communication exists between the cavities of the two ventricles. This congenital defect comprises a defect in the interventricular septum

…in the upper portion of the interventricular septum beneath the mitral valve is an orifice which establishes a communication between the two ventricles; one of the most frequent (defects) which I have encountered… is the communication between the two ventricles

Roger 1879

Associated Persons

Alternative names
  • Bruit de Roger
  • Roger’s murmur of ventricular septal defect
  • Murmur of Roger’s disease
  • Murmur of maladie de Roger

References

Historical articles

Eponymous term articles


Cite this article as: Mike Cadogan and Gary Zhang, "Roger’s murmur," In: LITFL - Life in the FastLane, Accessed on August 16, 2022, https://litfl.com/rogers-murmur/.

eponymictionary

the names behind the name

Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

Doctor in Australia. Keen interest in internal medicine, medical education, and medical history.

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