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 Sounds

Patient Recording

Patient Recording - Half Speed Playback

Position

The patient's position should be seated.

Listening Tips

Systole:Crescendo-decrescendo, harsh, late peaking murmur
Diastole: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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