Anatomical Drawing of Human Heart

The Cardiac Cycle

Origin and features of heart sounds

Heart Sounds Mechanism Clinical Features
Hear a Normal Sound
First (S1) M-T valve closure* Single
Second (S2) A2-P2 valve closure** Split***
Third (S3) Early diastole May be normal
Fourth (S4) Late diastole Pathologic
 

*Mitral and tricuspid
**Aortic and pulmonic
***A2-P2 interval widens with inspiration.

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Hear Heart Murmurs

Objectives | History | Physical Exam | Cardiac Cycle | Murmurs |
Criteria for Referral | Compare Sounds | Case Studies | Samples of Murmurs