Bruit

Bruit, also called vascular murmur,^[3] is the abnormal sound generated by turbulent flow of blood in an artery due to either an area of partial obstruction or a localized high rate of blood flow through an unobstructed artery.^[4]

Bruit
Other names	Vascular murmur
Pronunciation	English: /ˈbruːt/, /ˈbruːi/[1][2]
Specialty	Cardiology

The bruit may be heard ("auscultated") by securely placing the head of a stethoscope to the skin over the turbulent flow, and listening. Most bruits occur only in systole, so the bruit is intermittent and its frequency dependent on the heart rate. Anything increasing the blood flow velocity such as fever, anemia, hyperthyroidism, or physical exertion, can increase the amplitude of the bruit.

Etymology

It is naturalized from the French word for "noise", although another notes that /ˈbruːi/ and /bruːˈiː/ are also common,^[5] and others give only /ˈbruːi/ for the cardiac sense.^[6][7]

Associated terms

Describing location of a partial obstruction

• Peripheral vascular disease; femoral artery stenosis
• Renal artery stenosis
• Stroke, carotid artery stenosis
• Aortic aneurysm
• Tinnitus – a symptom which may be caused by a cranial artery bruit
• Arteriovenous malformation
• Coarctation of the aorta
• Hepatocellular carcinoma
• Alcoholic hepatitis

Describing the mechanism of a partial obstruction

• Atherosclerosis (atheroma or plaque) (cholesterol deposition in artery wall)
• Median arcuate ligament syndrome, celiac artery stenosis – external compression

Describing location of localized high blood flow

• Arteriovenous (AV) fistula – pathologic or surgically created
• Graves' disease, goitre
• Paget's disease

Unclassified

• Polymyalgia rheumatica
• Giant cell arteritis
• Fibromuscular dysplasia
• IgG4-related disease

See also

• Carotid bruit
• Souffle