Cardiac Exam Cycle Flashcards
common family history people heart disease
hypertrophic cardiomyopathy, marfan’s syndrome, and prolonged QT syndrome
Physical order of asessment
Inspection
Palpation
Percussion
Auscultation
location of the apex of the heart
5th ICS, left, 1 cm Medial to MCL
S1 heart sound is from and when
mitral and tricusid valve closure
beginning of ventricular systole
S2 heart sound is from and when
aortic and pulmonic closure
end of systole, beginning of diastole
where is LVH located
laterally displaced, downward to 6-7th ICS
Location of valve heart sounds
aortic: 2nd intercostal space R of sternum
pulmonary: 2nd intercostal space L of sternu
Tricuspid valve: 4th intercostal space at LSB
Mitral valve: 5th left ICS at mid-clavicular line
S1 heart sound 1st and second component
where is it the loudest
when is it
1st: MV closure
2nd: TV closure
loudest at apex
begninning of systole
S2 heart sound 1st and 2nd component
where is it the loudest
when is it
1st: aortic valve closure
2nd: pulmonic valve clsure
loudest at the base
end of systole
splitting of S2 sound is from what and __ ___ return
due to inspiration because of increased venous return
murmur grading system 1
Barely audible, faint
MGS 2
soft, but easily heard, quiet
MSG 3
loud, without a thrill
MSG 4
loud, with a thrill
MSG 5
loud with minimal contact between stethoscope and chest and thrill
MSG 6
loud, can be heard without a stethoscope and a thrill is there
Ejection fraction equation
storke volume/EDV
Ejection fraction normal
50-60%
ejection fraction mod. reduced
30-39%
ejection fraction mildly reduced
40-49%
Severely reduced ejection fraction
15-29%
Kussmauls Sign
JVP rises during inspiration rather than falls
seen in R heart failure, constricitve pericarditis or RV infarction
carotids. where is location, and bell or diaphragm of steth
medial to SCM and use bell
