Aortic Stenosis - Severe #1
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.
Auscultation Sounds


Patient Recording


Patient Recording - Half Speed Playback


Position

The patient's position should be seated.
Listening Tips
Systole:Crescendo-decrescendo, harsh, late peaking murmurDiastole:S4 gallop
Waveform (Phonocardiogram)
Observe
//embedding heart animation
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.
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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