I have a patient whose blood pressure is almost impossible to hear. I can palpate a systollic about 110 to 120 on most visits. She has a very pronounced heart murmur with no auscultated S1, S2, just the "whoosh". She does not appear to be actively dying at this point. Other nurses have just noted that they cannot get a blood pressure. I'm curious whether the murmur is affecting the sounds of the blood pressure and I haven't found this in my readings. Any suggestions or information?