Heart
Heart Sounds Introduction
Pediatrics: When To Refer
Heart Murmur
Normal Heart Sounds
First Heart Sounds
Second Heart Sounds
Extra Heart Sounds (S3 & S4)
Systolic Murmurs
Diastolic Murmurs
Complex Conditions
Congenital Abnormalities
Cardiac Conditions Assoc. with Sudden Death
Heart Sounds in Primary Care
Auscultation Repetition Training
Heart Sounds Guide
Lungs
Lung Sounds Introduction
Basic Lung Sounds
Intermediate Lung Sounds
Lung Sounds Guide
Intro To Lung Sounds
Blood Pressure
Taking Blood Pressure
Measuring Blood Pressure Procedure
Adult Case Studies Part I
Adult Case Studies Part II
High Blood Pressure in Children
Extras
Terms
Quizzes
Heart Sounds Guide
Lung Sounds Guide
Sonography Training (free)
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First Heart Sounds
First Heart Sound (Minimally Split)
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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The recommended auscultation position for the stethoscope is the
Tricuspid
position. For this sound, use stethoscope's
Diaphragm
.
The recommended patient position is
Supine
Phonocardiogram
This waveform plots sound amplitude on the vertical axis against time on the horizontal axis.
Heart Animation
Lessons
First Heart Sound - Loud
First Heart Sound (Minimally Split)
First Heart Sound (Markedly Split)
First Heart Sound - Decreased Intensity
Fourth Heart Sound Plus First Heart Sound
First Heart Sound plus Aortic Ejection Click
Practice Drill
Listening Tips
A synopsis of important sound features and timing for this abnormality.
S1:
Minimal splitting.
CaseID
39
CourseID
22
CourseCaseOrder
2
ID
27