Exocardial murmurs commonly refer to abnormal heart sounds that originate outside of the heart chambers. Although "exocardial murmur" is a medical term, there are several synonymous expressions that serve as alternatives in various contexts. One such synonym is "pericardial murmur", which emphasizes the involvement of the pericardium, a fluid-filled sac enclosing the heart. Similarly, "extracardiac murmur" denotes sounds originating from the structures surrounding the heart, while "epicardial murmur" highlights sounds originating from the outer layer of the heart itself. These synonymous terms aid medical professionals in accurately describing and diagnosing abnormal heart sounds, ultimately leading to effective treatment strategies for patients with cardiovascular conditions.