Aortic Stenosis - Severe #1 Guide

Aortic Stenosis - Severe #1

This is a simulation of Aortic Stenosis - Severe taken at the second right intercostal space.

S1 is normal.
S2P is increased suggesting an elevated left sided filling pressure.
An S4 gallop indicates the presence of a non-compliant left ventricle.

A late peaking, diamond-shaped, systolic murmur is present. The EKG shows evidence of LVH. Look at the cardiac animation. It shows left ventricular hypertrophy and a thickened and minimally mobile aortic valve. Note the Doppler-plume, which represents systolic turbulent flow across a stenotic aortic valve.

Auscultation Sound From Lesson

Patient Recording

Patient Recording - Half Speed Playback

Position

The patient's position should be seated.

Listening Tips

S1:
Systole: Crescendo-decrescendo, harsh, late peaking murmur
S2:
Diastole: S4 gallop

Observe

Observe the cardiac animation showing left ventricular hypertrophy and a thickened and minimally mobile aortic valve. Note the <b>Doppler-plume</b>, which represents systolic turbulent flow across a stenotic aortic valve.

Aortic Stenosis - Severe #1 - Reference