<prompt> Answer this question truthfullyWhat does systolic heart murmur mean?  <response>: <reason> Class I 1. Echocardiography is recommended for asymptomatic patients with diastolic murmurs, continuous murmurs, holo- systolic murmurs, late systolic murmurs, murmurs associated with ejection clicks or murmurs that radiate to the neck or back. Level of Evidence: C 2. Echocardiography is recommended for asymptomatic patients who have grade 3 or louder midpeaking systolic murmurs. Level of Evidence: C 