Mid-Systolic Click

A mid systolic click can be heard at the mitral valve area. The first and second heart sounds are normal. The second heart sound is unsplit and no murmur is present so that you can concentrate on the systolic click. Mid systolic click are often followed by a late systolic murmur of mitral valve leaflet prolapse. On the anatomy video, found below, you can see that the mitral valve posterior leaflet prolapses. The mid systolic click is produced by the sudden prolapse of this leaflet.

Auscultation Sounds

Patient Recording of Mid-Systolic Click

Patient Recording - Half Speed

patient auscultation point for Mid-Systolic Click

Position

The patient's position should be supine.

Listening Tips for Mid-Systolic Click

Systole:high-pitched click

Waveform (Phonocardiogram)

Observe Cardiac Animation for Mid-Systolic Click

Play the animation and observe that the mitral valve posterior leaflet prolapses. The mid-systolic click is produced by the sudden prolapse of the leaflet.

Authors and Sources

Authors and Reviewers

EKG heart rhythm modules: Thomas O'Brien.
EKG monitor simulation developer: Steve Collmann
12 Lead Course: Dr. Michael Mazzini, MD.
Spanish language EKG: Breena R. Taira, MD, MPH
Medical review: Dr. Jonathan Keroes, MD
Heart sounds and mentorship: W. Proctor Harvey, MD
Medical review: Dr. Pedro Azevedo, MD, Cardiology
Last Update: 1/8/2023

Sources

Electrocardiography for Healthcare Professionals, 5th Edition Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
Clinical Heart Disease W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009)
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429
Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH

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Mid-Systolic Click | Lessons with Audio and Video | #121