text: A<unk>  is an abnormal<unk>  sound produced as a result of turbulent blood flow, which is sufficient to produce audible noise, defined as a relatively prolonged series of auditory vibrations of varying intensity (loudness), frequency (pitch), quality, configuration, and duration.<unk> s could be systolic or diastolic or continuous<unk> .
option_0: Heart murmur
option_1: Tachycardia
option_2: Hypernea
option_3: Palpitation
option_4: Irregular pulse
option_5: Muffled heart sounds
option_6: Orthopnea
option_7: Bradycardia