This is a normal first and second heart sound at 60 beats per minute. You are auscultating at the Mitral valve area (Apex). The first heart sound has slightly greater intensity than the second heart sound.

  • The first heart sound is produced by the closing of the mitral and tricuspid valve leaflets.

  • The second heart sound is produced by the closing of the aortic and pulmonic valve leaflets.

  • The second heart sound is unsplit when the subject is holding his or her breath at peak expiration.

After reviewing the sound, use the waveform and anatomy tabs for more information about this sound.

First and Second Heart Sounds - Normal and   Unsplit
maneuver
Position: Mitral
Maneuver: Supine
Chestpiece: Diaphragm

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