Auscultation Training by Repetition

Cardiomyopathy - Congestive Moderate

waveform
Listen for 2-3 minutes
maneuver
Seated
torso
Diaphragm

Listening Tips
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S1: May be softer.
Systole: Medium pitched, rectangular murmur. Clicks may be heard.
Diastole: S3 present.

Lesson Text

This is a simulation of Cardiomyopathy - Congestive Moderate taken at the apex.

1. Note that S1 is softer than normal due to decreased LV contractility.

2. S2 is normal at the Apex.

3. An S3 is present due to left ventricular failure.

4. A rectangular, medium-pitched murmur of mild mitral insufficiency is due to a dilated mitral valve annulus.

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