Ventricular Septal Defect
This is an example of ventricular septal defect as heard at the tricuspid position. Ventricular Septal Defect is a congenital condition associated with abnormal blood flow between the left ventricle and the right ventricle. During fetal development a wall develops creating a right and left ventricle. In a percentage of individuals a defect in the wall persists allowing blood flow from the left ventricle into the right ventricle. This condition is known as a ventricular septal defect. The first heart sound is normal. The second heart sound is unsplit. There is a third heart sound followed by a short diamond shaped diastolic murmur. A medium pitched murmur fills all of systole. In the anatomy video you see an enlarged right ventricle and an enlarged left atrium. You see turbulent blood flow from the left ventricle into the right ventricle through the up portion of the septum (the systolic murmur). There is further turbulent flow into the left ventricle from the left atrium causing the diastolic murmur. This is caused by VSD induced increased blood flow across the mitral valve.Auscultation Sounds
 
                    
Patient Recording of Ventricular Septal Defect
 
                        
Patient Recording - Half Speed
 
                        
Position
 
                The patient's position should be supine.
Listening Tips for Ventricular Septal Defect
Diastole:S3 in patient recordings. Simulated sound includes a brief murmurWaveform (Phonocardiogram)
Observe Cardiac Animation for Ventricular Septal Defect
Observe an enlarged right ventricle and an enlarged left atrium in the cardiac animation.
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
Ventricular Septal Defect | Lessons with Audio and Video | #111




