First and Second Heart Sounds - Normal and Unsplit Auscultation Reference

heart lung sounds waveform patient normal speed
heart lung sounds waveform patient half speed
heart lung sounds waveform synthetic

Lesson

For heart sounds listen to the synthetic sound while reviewing this lesson.

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.

The waveform(s) seen above are a chart of sound amplitude (loudness) on the vertical axis against time on the horizontal axis.


Listening Tips

A summary of the key aspects of this heart or lung sound.

Auscultation Method

maneuver
The recommended patient position is supine
torso
For this sound, use stethoscope's diaphragm The recommended auscultation position for the stethoscope is mitral



Relevant Courses

If you wish to review a complete mobile concerning First and Second Heart Sounds - Normal and Unsplit Auscultation Reference and related heart sounds, the modules(s) listed below may be useful. Each lesson includes text that explains the auscultatory sound and its clinical significance. The lesson also includes an audio track for playback. A waveform provides a great way to visualize the sounds. Finally, we also include an animation video. For heart sounds, the video illustrates heart muscle and valve movements along with blood flow. For lung sounds, the primary source of the sounds can be seen. Each module also includes a quiz.

First and Second Heart Sounds - Normal and Unsplit Auscultation Reference







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