Aortic Stenosis -Mild | Lessons with Audio and Video | #89
In early systole there is an aortic ejection click followed by a diamond shaped systolic murmur which ends mid-way through systole. It is a mid-frequency murmur. As the condition worsens, the murmur frequency increases. The first heart sound is normal. The second heart sound is physiologically split. The aortic component of the second heart sound is louder than normal. The anatomy video shows thickened aortic valve leaflets with decreased movement. The left ventricle wall thickness is increased.Auscultation Sounds
Position
The patient's position should be sitting.
Listening Tips
Systole:Click, then early diamond shaped murmurS2:Split
Waveform (Phonocardiogram)
Observe Cardiac Animation
The cardiac animation shows thickened aortic valve leaflets with decreased movement. The left ventricle wall thickness is increased.
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
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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
Aortic Stenosis -Mild | Lessons with Audio and Video | #89
