First Heart Sounds

First Heart Sound (Markedly Split)

If the splitting of the first heart sound is large (about 50 milliseconds) it is an indication of an abnormal condition called Right Bundle Branch Block. The splitting is most clearly heard at the tricuspid area.

In the mitral valve area, the mitral component is louder.

At 50 milliseconds, the splitting of the first heart sound is clearly audible.

maneuver image
Maneuver:Supine
Chestpiece Position:Tricuspid
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.