Normal Heart Sounds

First and Second Heart Sounds - Normal and Unsplit

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.

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Position: Mitral
Chestpiece: Diaphragm



Maneuver: Supine

Phonocardiogram

Heart Animation

Table of Contents

1	First and Second Heart Sounds - Normal and Unsplit
2	First Heart Sound (Minimally Split)
3	Second Heart Sound - Physiologically Split #1
4	Third Heart Sound - Physiologic
5	Innocent Murmur
6	Exercise - Heart Rate 120

      

Practice Drill