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


Historical articles

Eponymous term articles



the names behind the name

BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, 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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