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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Auscultation in Primary Care
Summation Gallop at 120 beats per minute
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At a heart rate of 120 beats per minute, the diastolic period is shortened. This causes the third and fourth sound to be superimposed, creating a single loud sound.
The anatomy tab shows an enlarged left ventricle with decreased left ventricular contractility and a minimally enlarged left atrium.
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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
Supine
Phonocardiogram
This waveform plots sound amplitude on the vertical axis against time on the horizontal axis.
Heart Animation
Lessons
First and Second Heart Sounds - Normal and Unsplit
First and Second Heart Sounds - Reduced Intensity
Second Heart Sound - Splitting
Third Heart Sound Gallop
Fourth Heart Sound Gallop
Third and Fourth Heart Sound Gallop
Summation Gallop at 120 beats per minute
Second Heart Sound - Fixed Splitting
Mid-Systolic Click
Mitral Valve Leaflet Prolapse
Aortic Stenosis (Diamond Shaped Systolic Murmur)
Aortic Regurgitation (Decrescendo Diastolic Murmur)
Mitral Regurgitation (pansystolic Murmur)
Mitral Stenosis (Diastolic Murmur)
Practice Drill
Listening Tips
A synopsis of important sound features and timing for this abnormality.
Diastole:
Shortened diastole, S3 & S4 superimposed.
CaseID
87
CourseID
25
CourseCaseOrder
4
ID
74