Hypertrophic Cardiomyopathy

heart lung sounds waveform
maneuver
Supine
torso & chestpiece
Diaphragm

Listening Tips
spacer
S1: Increased intensity. Can be loudest at tricuspid area (4th ICS).
Systole: Diamond-shaped, early peaking, harsh.
Diastole: S4 gallop is present.