heart sounds Flashcards
1
Q
Aortic stenosis
A
systolic ejection click crescendo-decrescendo radiates to carotids weak pulses S4 sound can cause syncope, angina, dyspnea causes CONCENTRIC hypertrophy (in parallel)
2
Q
mitral stenosis
A
diastolic rumble
opening snap after S2
assoc: chronic rheumatic fever
louder with Expiration
3
Q
aortic regurg
A
early diastolic, descrescendo after S2. high pitch
headb bobbling, bounding pulses. wide pulse pressure
hand grip increases intensity
ECCENTRIC hypertrophy (in series)
4
Q
Tricuspid regurg
A
pansystolic ā>RSB
increases with inspiration
5
Q
Mitral regurg
A
holosystolic blowing murmur radiates to axilla squatting, hand grip- louder expiration- louder ACUTE rheumatic fever.
6
Q
VSD
A
hard sounding holosystolic murmur at tricupid area.
7
Q
S4 sound
A
late diastole atrial kick- stiff LV HCM AS chronic HTN + LVH Post MI diastolic dysfunction (=EF)
8
Q
S3 sound
A
early disastole rapid vent filling dilated M- CHF L-->R shunts: VSD, ASD, PDA normal in prego and children
9
Q
S2 sound
A
A2 + P2 close
10
Q
S1
A
M + T close
11
Q
wide fixed split
A
pul. stenosis
RBBB
12
Q
fixed split
A
ASD
Lā>R shunt
13
Q
paradoxical split
A
aortic stenosis
LBBB
