Mid-Systolic Click | Auscultation #80 | Lesson with Audio
Where to Auscultate
The patient was supine during auscultation.
Description
A mid systolic click can be heard at the mitral valve area. The first and second heart sounds are normal. The second heart sound is unsplit and no murmur is present so that you can concentrate on the systolic click. Mid systolic click are often followed by a late systolic murmur of mitral valve leaflet prolapse. On the anatomy video, found below, you can see that the mitral valve posterior leaflet prolapses. The mid systolic click is produced by the sudden prolapse of this leaflet.Phonocardiogram
Anatomy
Mid-Systolic Click
Play the animation and observe that the mitral valve posterior leaflet prolapses. The mid-systolic click is produced by the sudden prolapse of the leaflet.
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: 11/10/2021
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
- 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) -
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
