Repetition Training - Intermediate Heart Sounds Cardiomyopathy - Congestive Moderate Lesson Waveform Anatomy play pause Table of Contents 1Aortic Sclerosis (Musical Murmur) 2Atrial Septal Defect 3Cardiomyopathy - Congestive Moderate 4Ebstein's Anomaly 5Hypertrophic Cardiomyopathy 6Mid-Systolic Click 7First Heart Sound plus Aortic Ejection Click Practice Quiz This video is an animation of Cardiomyopathy - Congestive Moderate A#402 (lesson# 3) within course number 3. 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.