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Heart Sounds Introduction
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Heart Murmur
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Cardiac Conditions Assoc. with Sudden Death
Heart Sounds in Primary Care
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Heart Sounds Guide
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Complex Conditions
Mitral Regurgitation and Aortic Regurgitation
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This is an auscultation example of moderate regurgitation of both the aortic and mitral valves.
The first heart sound is minimally decreased due to minimal closure of the mitral valve leaflets in early systole. The second heart sound is normal.
There is a rectangular murmur which takes up most of systole and a decrescendo murmur which takes up most of diastole. Both murmurs are of moderate intensity.
The combination of the two murmurs creates a to-and-fro sound character.
In the anatomy tab you see an enlarged left atrium and left ventricle.
You see regurgitant turbulent flow into the left atrium from the left ventricle (the systolic murmur) and regurgitant turbulent flow from the aorta into the left ventricular outflow tract (the diastolic murmur).
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The recommended auscultation position for the stethoscope is the
Mitral
position. For this sound, use stethoscope's
Diaphragm
.
The recommended patient position is
Sitting leaning forward
Phonocardiogram
This waveform plots sound amplitude on the vertical axis against time on the horizontal axis.
Heart Animation
Lessons
Mitral Regurgitation - Severe
Tricuspid Regurgitation - Severe
Mitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin
Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin
Mitral Regurgitation and Aortic Regurgitation
Acute Pericarditis
Practice Drill
Listening Tips
A synopsis of important sound features and timing for this abnormality.
S1:
Minimally reduced intensity.
Systole:
Rectangular murmur, moderate intensity.
Diastole:
Decrescendo murmur, moderate intensity.
CaseID
105
CourseID
28
CourseCaseOrder
5
ID
95