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Aortic Stenosis - Mod Regur. Mild

Aortic Stenosis - Mod Regur. Mild

This is a simulation of Aortic Stenosis - Moderate and Regurgitation - Mild taken at the second right intercostal space. S1 is normal. S2A is single and accentuated. An aortic ejection click is heard. A diamond-shaped systolic murmur is present. A mild, high-pitched, blowing, decrescendo diastolic murmur is present. The EKG shows an increased R-wave amplitude, which is evidence of LVH. Look at the cardiac animation. It shows left ventricular hypertrophy and a thickened, mobile aortic valve. Note the Doppler-plumes, which represent systolic turbulent flow across a stenotic aortic valve and diastolic regurgitant turbulent flow into the left ventricle.


Auscultation Sounds

auscultation sound from lesson
waveform





Position

Patient position
The patient's position should be seated.

Listening Tips

Systole:Click followed by Crescendo-decrescendo murmur
S2:Increased intensity
Diastole:high-pitched, musical decrescendo murmur


Waveform (Phonocardiogram)

Observe

//embedding heart animation

Authors

These authors contributed the audio recordings and text found in this reference guide: Jon Keroes, MD,Diane Wrigley, PA, and David Lieberman.
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.



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