How do you grade systolic murmurs ?
Levine's grading of systolic murmurs (Ann Intern Med 1933; 6: 1371):
• Grade 1: Murmur is so faint that it is heard only with special effort.
• Grade 2: Murmur is faint but readily detected.
• Grade 3: Murmur is prominent but not loud.
• Grade 4: Murmur is loud.
• Grade 5: Murmur is very loud.
• Grade 6: Murmur is loud enough to be heard with the stethoscope just removed from contact with
the chest wall.