Auscultation in Primary Care

First and Second Heart Sounds - Normal and Unsplit

This is a normal first and second heart sound at 60 beats per minute. You are auscultating at the Mitral valve area (Apex). The first heart sound has slightly greater intensity than the second heart sound.

  • The first heart sound is produced by the closing of the mitral and tricuspid valve leaflets.

  • The second heart sound is produced by the closing of the aortic and pulmonic valve leaflets.

  • The second heart sound is unsplit when the subject is holding his or her breath at peak expiration.

maneuver image
Maneuver:Supine
Chestpiece Position:Mitral
Chestpiece:Diaphragm


This website is intended for use by medical professionals for educational purposes only. For medical care, contact a healthcare provider. Copyright 2017 © Medical Training and Simulation LLC. All Rights Reserved.

This website is intended for use by medical professionals for educational purposes only. For medical care, contact a healthcare provider. Copyright 2017 © Medical Training and Simulation LLC. All Rights Reserved.