Opening Snap |
brief, high-pitched, early diastolic sound (usually due to stenosis of an AV valve). Mitral: more audible in expiration, lower LSB and apex, follows S2. Tricuspid: more audible in its area, later in diastole than mitral. |
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Ejection Sound |
sharp, high-pitched, early systolic sound (in aortic/pulmonary stenosis), it's an opening snap. Aortic: 2nd right ICS and apex. Pulmonary: Upper left sternal border. |
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Clicks (mid-systolic or non-ejection) |
In mitral regurgitation often denote prolapse. Lower left sternal border and apex. |
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Pericardial Knock |
An earlier, high-pitched S3 (early diastolic). In constrictive pericarditis. |
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Pericardial Friction Rub |
Presystolic, systolic and early diastolic components. The Patient upright, leaning forward and in expiration. |
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Tumor Plop |
Low-pitched, early or mid-diastolic, occurs in atrial mixoma. |
Heart Sounds (cardiac cycle)
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