Aortic Stenosis Lesson

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was sitting during auscultation.

Description

This case presents a diamond-shaped systolic murmur associated with aortic stenosis. The first and second heart sounds are normal. The murmur starts in systole, shortly after the first heart sound and ends before the second heart sound.

The murmur is mid to high-pitched and is usually auscultated with the chestpiece diaphragm.

The anatomy video shows a markedly thickened left ventricle. The aortic valve leaflets are thickened and immobile. The murmur is caused by turbulent flow across the stenotic aortic valve.

Phonocardiogram

Anatomy

Aortic Stenosis

The animation shows a markedly thickened left ventricle. The aortic valve leaflets are thickened and immobile. The murmur is caused by turbulent flow across the stenotic aortic valve.
Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




An error has occurred. This application may no longer respond until reloaded. Reload 🗙