First Heart Sound (Minimal Split) Auscultation Lesson with Recordings

Virtual Auscultation

patient torso with stethoscope chestpiece

patient position during auscultation
The patient's position is supine.

Lesson

On occasion the first heart sound can be made up of two separate sounds separated by a very small interval (20-30 milliseconds). The Mitral component (caused by closure of the Mitral valve) comes first and is louder than the Tricuspid component (caused by closure of the Tricuspid valve). A minimally split first heart sound is a normal variation of the first heart sound.
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Waveform




Heart Sounds Video



Authors and Sources

Authors and Reviewers

Sources

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