Essential Heart Sounds

Reduced Intensity First and Second Heart Sounds

Patients who are obese or have emphysema will often have diminished heart sounds. Hearing these greatly reduced intensity sounds can take practice.

Introduction

	1	Normal First and Second Heart Sounds - No Splitting
	2	Reduced Intensity First and Second Heart Sounds
	3	Split Second Heart Sound
	4	Third Heart Sound (S3) Gallop
	5	Fourth Heart Sound (S4) Gallop
	6	Third and Fourth Heart Sound Gallop
	7	Summation Gallop at 120 beats per minute
	8	Fixed Splitting of Second Heart Sound
	9	Mid-Systolic Click
	10	Systolic Murmur - Aortic Stenosis
	11	Diastolic Murmur - Aortic Regurgitation
	12	Mitral Valve Leaflet Prolapse
	13	Pansystolic Murmur - Mitral Regurgitation
	14	Diastolic Murmur - Mitral Stenosis