Systolic Murmur - Aortic Stenosis
Virtual Auscultation
The patient's position is sitting.
Lesson
In this lesson we cover a diamond shaped systolic murmur associated with aortic stenosis. When you listen to the recording, notice that the first and second heart sounds are normal. The systolic murmur starts shortly after the first heart sound and ends before the second heart sound. This murmur is mid to high-pitched. Use the 'Visual' tab to play a video that presents a markedly thickened left ventricle. The murmur is caused by turbulent flow across the stenotic aortic valve. The aortic valve leaflets are thickened and immobile.Waveform
Heart Sounds Video
The animation shows a markedly thickened left ventricle. The aortic valve leaflets are thickened and immobile. The murmur is caused by turbulent flow across the stenotic aortic valve.
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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Heart sounds mentorship by W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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Last Update: 12/11/2022
Sources
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Heart and Lung Sounds Reference Library
Diane S. Wrigley
Publisher: PESI -
Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
Diane S Wrigley & Rosale Lobo - Practical Clinical Skills: Lung Sounds
- Essential Lung Sounds
Diane S. Wrigley, PA-C
Published by MedEdu LLC - PESI Faculty - Diane S Wrigley
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Case Profiles in Respiratory Care 3rd Ed, 2019
William A.French
Published by Delmar Cengage - Essential Lung Sounds
by William A. French
Published by Cengage Learning, 2011 - Understanding Lung Sounds
Steven Lehrer, MD
- Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009)
