This is a simulation of a first heart sound and a second heart sound with greatly reduced intensity. This can be seen in an obese patient or a patient with emphysema.

It is a challenge to your ability to hear these reduced intensity sounds.

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

First and Second Heart Sounds - Reduced Intensity
Position: Mitral
Maneuver: Supine
Chestpiece: Diaphragm