Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin
Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin
This is an example of moderate aortic stenosis combined with mild aortic regurgitation in a patient with rheumatic heart disease. The first heart sound is normal. The second heart sound is unsplit. There is an aortic ejection click in systole followed by a diamond-shaped systolic murmur. There is a high-pitched decrescendo murmur which fills the first two thirds of diastole. In the anatomy video you can see a thickened left ventricle and thickened but mobile aortic valve leaflets. There is moderate turbulent flow across the aortic valve in systole and mild regurgitant turbulent flow into the left ventricle in diastole. The turbulent blood flow causes the systolic and diastolic murmurs.Auscultation Sound From Lesson


Patient Recording


Patient Recording - Half Speed Playback


Position

The patient's position should be sitting leaning forward.
Listening Tips
Systole:Aortic ejection click followed by diamond shaped murmurDiastole:high-pitch decrescendo murmur
Waveform (Phonocardiogram)
Observe Cardiac Animation
In the animation, observe a thickened left ventricle and thickened but mobile aortic valve leaflets. There is moderate turbulent flow across the aortic valve in systole and mild regurgitant turbulent flow into the left ventricle in diastole.
The turbulent blood flow causes the systolic and diastolic murmurs.
Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin | #104
Authors and Reviewers
Authored by Dr. Jonathan Keroes, MD and Diane Wrigley, PA.Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 12/06/2021
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Sources
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Heart and Lung Sounds Reference Library
Diane S. Wrigley
Publisher: PESI -
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Diane S Wrigley & Rosale Lobo - Practical Clinical Skills: Lung Sounds
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Published by MedEdu LLC - PESI Faculty - Diane S Wrigley
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