Here is a simulation of Cardiomyopathy - Congestive Moderate taken at the apex.
1. Note that S1 is softer than normal due to decreased LV contractility.
2. S2 is normal at the Apex.
3. An S3 is present due to left ventricular failure.
4. A rectangular, medium-pitched murmur of mild mitral insufficiency is due to a dilated mitral valve annulus.
Cardiomyopathy - Congestive Moderate 7 Audio
Cardiomyopathy - Congestive Moderate 7 Sounds
Half Speed Cardiomyopathy - Congestive Moderate 7 Sounds
Technique
The patient's position should be seated.
Auscultation Tips for Cardiomyopathy - Congestive Moderate 7
S1:May be softerSystole:Medium pitched, rectangular murmur. Clicks may be heard
Diastole:S3 present
Sound Wave
Cardiomyopathy - Congestive Moderate 7 Video
Authors and Sources
Authors and Reviewers
- EKG heart rhythm modules: Thomas O'Brien.
- EKG monitor simulation developer: Steve Collmann
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12 Lead Course: Dr. Michael Mazzini, MD.
- Spanish language EKG: Breena R. Taira, MD, MPH
- Medical review: Dr. Jonathan Keroes, MD
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Heart sounds and mentorship: W. Proctor Harvey, MD
- Medical review: Dr. Pedro Azevedo, MD, Cardiology
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Last Update: 1/8/2023
Sources
-
Electrocardiography for Healthcare Professionals, 5th Edition
Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019 -
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company -
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing -
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN - Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG
Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
Cardiomyopathy - Congestive Moderate 7 | #10
