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It won't. But in the long term the murmur (depending on which valve is affected) will cause hypertrophy of cardiac muscles for the different ventricles/atria. And the hypertrophy will be detected by the ECG because it will change the cardiac axis. Murmurs are easily heard using a stethoscope so and ECG isn't useful. An ECG monitors the electric impulses of the heart muscle - so better to see heart blocks, infarcts, hypertrophy, AF, SVT etc

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Q: How can a heart murmur affect an ECG?
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