Aortic Stenosis - Severe #2 Auscultation Reference

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heart lung sounds waveform synthetic

Lesson

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

In Severe Aortic Stenosis there is a diamond shaped systolic murmur which lasts throughout systole. The murmur is loud and higher pitched than the murmur of mild aortic stenosis. It is caused by calcification of the aortic valve leaflets.

There is a fourth heart sound heard in late diastole (just before the first heart sound). This is caused by the increased left ventricular wall thickness and stiffness.

S1 is normal. S2 is louder than normal. In fact, you are hearing only the accentuated pulmonic component of S2 due to heart failure on the left side.

The aortic ejection click heard in mild cases of valvular aortic stenosis is gone.

In the anatomy tab you can see the greatly thickened left ventricular wall and the almost totally immobile aortic leaflets.


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.
Systole: Diamond shaped. Louder & higher pitched than mild cases.

Auscultation Method

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



Relevant Courses

If you wish to review a complete mobile concerning Aortic Stenosis - Severe #2 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.

Aortic Stenosis - Severe #2 Auscultation Reference







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